Highland Creek Family Dental - South Llc | |
3209 Builder Dr Ste 130 Lafayette IN 47909-4054 | |
(765) 204-1676 | |
Not Available |
Full Name | Highland Creek Family Dental - South Llc |
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Speciality | Dentist - General Practice |
Location | 3209 Builder Dr Ste 130, Lafayette, Indiana |
Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Highland Creek Family Dental - South Llc 3209 Builder Dr Ste 130 Lafayette IN 47909-4054 Ph: (765) 204-1676 | Highland Creek Family Dental - South Llc 3209 Builder Dr Ste 130 Lafayette IN 47909-4054 Ph: (765) 204-1676 |
NPI Number | 1245957950 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 10/24/2022 |
Identifier | Type | State | Issuer |
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1245957950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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