Huntertown Dental Services, Inc. | |
14932 Lima Rd Huntertown IN 46748-9275 | |
(260) 637-5848 | |
(260) 637-6153 |
Full Name | Huntertown Dental Services, Inc. |
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Speciality | Dentist |
Location | 14932 Lima Rd, Huntertown, Indiana |
Authorized Official Name and Position | Linda Marie Brezausek-sodano (DENTIST/OWNER) |
Authorized Official Contact | 2606375848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Huntertown Dental Services, Inc. 14932 Lima Rd Huntertown IN 46748-9275 Ph: (260) 637-5848 | Huntertown Dental Services, Inc. 14932 Lima Rd Huntertown IN 46748-9275 Ph: (260) 637-5848 |
NPI Number | 1902272081 |
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Provider Enumeration Date | 08/12/2015 |
Last Update Date | 08/12/2015 |
Identifier | Type | State | Issuer |
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1902272081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 54000888A (Indiana) | Primary |