Organization
GENTLE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CONARD DMD (OWNER)
(765) 482-1060
Entity
Organization
Contact information
Practice address
1705 INDIANAPOLIS AVE, LEBANON, IN 46052-2936
(765) 482-1060
Mailing address
1705 INDIANAPOLIS AVE, LEBANON, IN 46052-2936
(765) 482-1060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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