Brush Dental | |
278 Manchester Ave Wabash IN 46992 | |
(260) 563-4065 | |
Not Available |
Full Name | Brush Dental |
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Speciality | Dentist |
Location | 278 Manchester Ave, Wabash, Indiana |
Authorized Official Name and Position | Corey D Martinez (DENTIST/ OWNER) |
Authorized Official Contact | 2605634065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brush Dental 278 Manchester Ave Wabash IN 46992 Ph: (260) 563-4065 | Brush Dental 278 Manchester Ave Wabash IN 46992 Ph: (260) 563-4065 |
NPI Number | 1992242085 |
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Provider Enumeration Date | 01/26/2017 |
Last Update Date | 01/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992242085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12012410A (Indiana) | Primary |
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