Kentland Family Dentistry | |
310 E Lincoln St Kentland IN 47951-1135 | |
(219) 474-5059 | |
Not Available |
Full Name | Kentland Family Dentistry |
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Speciality | Dentist |
Location | 310 E Lincoln St, Kentland, Indiana |
Authorized Official Name and Position | Melinda Sue Bodine (ASSOCIATE) |
Authorized Official Contact | 2194745059 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kentland Family Dentistry 310 E Lincoln St Kentland IN 47951-1135 Ph: (219) 474-5059 | Kentland Family Dentistry 310 E Lincoln St Kentland IN 47951-1135 Ph: (219) 474-5059 |
NPI Number | 1366854143 |
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Provider Enumeration Date | 05/28/2014 |
Last Update Date | 05/28/2014 |
Identifier | Type | State | Issuer |
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1366854143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 1639581507 (Indiana) | Primary |