Organization
JP DENTAL - RICHMOND LLC
Active
Parent organization
EVOLUTION DENTAL
Other names
Spring Grove Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVOLUTION DENTAL
Authorized official
DR. JOHN PASICZNYK DDS (PRESIDENT)
(317) 818-7777
Entity
Organization
Contact information
Practice address
894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(765) 962-3713
Mailing address
894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(765) 962-3713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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