Organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Other names
Complete Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF INDIANA, P.C.
Authorized official
TABATHA LEMKE (CRED COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
415 WATERFALL DR STE A, ELKHART, IN 46516-3660
(574) 293-8744
Mailing address
415 WATERFALL DR STE A, ELKHART, IN 46516-3660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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