Organization
RONALD L RECEVEUR DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LEO RECEVEUR DDS (DENTIST/OWNER)
(812) 948-2281
Entity
Organization
Contact information
Practice address
819 MOUNT TABOR RD, NEW ALBANY, IN 47150-6414
(812) 948-2281
Mailing address
819 MOUNT TABOR RD, NEW ALBANY, IN 47150-6414
(812) 948-2281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12008027
IN
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
11/08/2017
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