| K And L Dental | |
|
117 W Mulberry St Marion IN 46952-2667 | |
| (765) 664-0028 | |
| (765) 668-3658 |
| Full Name | K And L Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 W Mulberry St, Marion, Indiana |
| Authorized Official Name and Position | Chad R Leighty (OWNER) |
| Authorized Official Contact | 7656640028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K And L Dental 117 W Mulberry St Marion IN 46952-2667 Ph: (765) 664-0028 | K And L Dental 117 W Mulberry St Marion IN 46952-2667 Ph: (765) 664-0028 |
| NPI Number | 1528139151 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528139151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009572 (Indiana) | Primary |
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