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Organization

DENTAL PROFESSIONALS OF IN, PC

Active
Parent organization
DENTAL PROFESSIONALS OF IN, PC
Other names
Dental Care of Elkhart
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF IN, PC
Authorized official
MARIE KUHL (CREDENTIALING MANAGER)
(217) 540-5100
Entity
Organization

Contact information

Practice address
505 VISTULA ST, ELKHART, IN 46516-2809
(217) 540-5100
Mailing address
505 VISTULA ST, ELKHART, IN 46516-2809
(217) 540-5100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/17/2012
Last updated
01/03/2014
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