Klondike Dental Care | |
3412 Klondike Rd West Lafayette Bra IN 47906-5218 | |
(765) 463-6726 | |
Not Available |
Full Name | Klondike Dental Care |
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Speciality | Dentist - General Practice |
Location | 3412 Klondike Rd, West Lafayette Bra, Indiana |
Authorized Official Name and Position | John Piperis James (PRESIDENT) |
Authorized Official Contact | 7654636726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Klondike Dental Care 3412 Klondike Rd West Lafayette Bra IN 47906-5218 Ph: (765) 463-6726 | Klondike Dental Care 3412 Klondike Rd West Lafayette Bra IN 47906-5218 Ph: (765) 463-6726 |
NPI Number | 1003928789 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1003928789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 12009311 (Indiana) | Primary |