Organization
SUMMIT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER HULEN DDS (PRESIDENT)
(574) 772-3541
Entity
Organization
Contact information
Practice address
1006 S EDGEWOOD DR, SUITE A, KNOX, IN 46534-8226
(574) 772-3541
Mailing address
1006 EDGEWOOD DRIVE, SUITE A, KNOX, IN 46534-8226
(574) 772-3541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009766
IN
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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