| Dhda Wfd, Llc | |
|
3146 N National Rd Columbus IN 47201-3169 | |
| (812) 372-5568 | |
| Not Available |
| Full Name | Dhda Wfd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3146 N National Rd, Columbus, Indiana |
| Authorized Official Name and Position | Paul Lavelle (SOLE MEMBER OF DHDA PROVIDERCO PLLC) |
| Authorized Official Contact | 5022280234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhda Wfd, Llc 120 Webster St Ste 332 Louisville KY 40206-1895 Ph: () - | Dhda Wfd, Llc 3146 N National Rd Columbus IN 47201-3169 Ph: (812) 372-5568 |
| NPI Number | 1205418258 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205418258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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