Organization
CORNILS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CHASE CORNILS D.D.S. (OWNER/DENTIST)
(765) 914-5089
Entity
Organization
Contact information
Practice address
2016 W MCGALLIARD RD, MUNCIE, IN 47304-2148
(765) 284-7242
Mailing address
2016 W MCGALLIARD RD, MUNCIE, IN 47304-2148
(765) 284-7242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011436A
IN
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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