Organization
KIDS DENTISTREE - CORYDON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
2086 OLD HWY 135 NW, CORYDON, IN 47112-4015
(812) 572-4999
Mailing address
2086 OLD HWY 135 NW, CORYDON, IN 47112-4015
(812) 572-4999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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