Myracle Orthodontics Llc | |
8900 Ruffian Ln Newburgh IN 47630-3424 | |
(812) 858-0711 | |
Not Available |
Full Name | Myracle Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 8900 Ruffian Ln, Newburgh, Indiana |
Authorized Official Name and Position | George M. Myracle (ORTHODONTIST) |
Authorized Official Contact | 8128580711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Myracle Orthodontics Llc 8900 Ruffian Ln Newburgh IN 47630-3424 Ph: (812) 858-0711 | Myracle Orthodontics Llc 8900 Ruffian Ln Newburgh IN 47630-3424 Ph: (812) 858-0711 |
NPI Number | 1932375268 |
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Provider Enumeration Date | 05/06/2008 |
Last Update Date | 05/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932375268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12010421A (Indiana) | Primary |
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