Organization
PLYMOUTH FAMILY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE CLAUSS (OFFICE MANAGER)
(574) 396-0644
Entity
Organization
Contact information
Practice address
1400 N OAK DR, PLYMOUTH, IN 46563-3403
(574) 936-0644
Mailing address
1400 N OAK DR, PLYMOUTH, IN 46563-3403
(574) 936-0644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010054
IN
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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