Organization
HEATH DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HARRISON HEATH D.D.S. (DENTIST)
(317) 892-4994
Entity
Organization
Contact information
Practice address
204 N MAPLE ST, PITTSBORO, IN 46167-9164
(317) 892-4994
Mailing address
204 N MAPLE ST, P.O. BOX 314, PITTSBORO, IN 46167-9164
(317) 892-4994
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12012135A
IN
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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