Organization
ANGELA DEHAVEN BROWNSBURG DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY V HUTTER (MANAGER)
(502) 797-9111
Entity
Organization
Contact information
Practice address
945 N GREEN ST, BROWNSBURG, IN 46112-1032
(317) 564-4928
(317) 564-4928
Mailing address
13295 ILLINOIS ST, STE 138, CARMEL, IN 46032-3019
(317) 564-4928
(317) 564-4928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IN
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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