Organization
HUNTINBURG FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON ELISA WOOD D.D.S. (DENTIST)
(812) 683-4100
Entity
Organization
Contact information
Practice address
517 E 5TH ST, HUNTINGBURG, IN 47542-1004
(812) 683-4100
(812) 683-4110
Mailing address
517 E 5TH ST, HUNTINGBURG, IN 47542-1004
(812) 683-4100
(812) 683-4110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009892A
IN
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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