| Lisa M Duncan Strieter Dds Llc | |
|
948 Manchester Ave Wabash IN 46992-1640 | |
| (260) 563-7322 | |
| (260) 563-8653 |
| Full Name | Lisa M Duncan Strieter Dds Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 948 Manchester Ave, Wabash, Indiana |
| Authorized Official Name and Position | Lisa M Strieter (OWNER) |
| Authorized Official Contact | 2605637322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Duncan Strieter Dds Llc 948 Manchester Ave Wabash IN 46992-1640 Ph: (260) 563-7322 | Lisa M Duncan Strieter Dds Llc 948 Manchester Ave Wabash IN 46992-1640 Ph: (260) 563-7322 |
| NPI Number | 1720475494 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 0547589814 |
|---|---|
| Medicare Enrollment ID | O20150507002523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720475494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010490 (Indiana) | Primary |
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