| Midwest Endodontics Llc | |
|
2709 Washington Ave Suite 1 Evansville IN 47714-2411 | |
| (812) 476-8000 | |
| (812) 471-3901 |
| Full Name | Midwest Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2709 Washington Ave, Evansville, Indiana |
| Authorized Official Name and Position | Brent R Grafe (PRESIDENT) |
| Authorized Official Contact | 8124768000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Endodontics Llc 2709 Washington Ave Suite 1 Evansville IN 47714-2411 Ph: (812) 476-8000 | Midwest Endodontics Llc 2709 Washington Ave Suite 1 Evansville IN 47714-2411 Ph: (812) 476-8000 |
| NPI Number | 1467600478 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467600478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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