Individual
DR. JACK WINDSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3430 S 4TH ST, TERRE HAUTE, IN 47802-4168
(217) 540-5100
Mailing address
3430 S 4TH ST, TERRE HAUTE, IN 47802-4168
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012529A
IN
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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