Individual
DR. RICHARD VINCENT JANZARUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3225 NICHOL AVE, ANDERSON, IN 46011-3148
(765) 649-5257
(765) 649-1544
Mailing address
PO BOX 2708, ANDERSON, IN 46018-2708
(765) 649-5257
(765) 649-1544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6719
IN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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