| Lagrange Family Dentistry Llc | |
|
612 S Detroit St Lagrange IN 46761-2314 | |
| (260) 463-2111 | |
| Not Available |
| Full Name | Lagrange Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 612 S Detroit St, Lagrange, Indiana |
| Authorized Official Name and Position | Kalyssa Bontrager (OWNER/ DOCTOR) |
| Authorized Official Contact | 2604632111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Family Dentistry Llc 612 S Detroit St Lagrange IN 46761-2314 Ph: () - | Lagrange Family Dentistry Llc 612 S Detroit St Lagrange IN 46761-2314 Ph: (260) 463-2111 |
| NPI Number | 1710757471 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710757471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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