| Regal Valley Dental Care | |
|
2000 Veterans Memorial Parkway S Lafayette IN 47909 | |
| (765) 746-6166 | |
| (765) 746-6935 |
| Full Name | Regal Valley Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 Veterans Memorial Parkway S, Lafayette, Indiana |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2178217249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regal Valley Dental Care 2000 Veterans Memorial Parkway S Lafayette IN 47909 Ph: (765) 746-6166 | Regal Valley Dental Care 2000 Veterans Memorial Parkway S Lafayette IN 47909 Ph: (765) 746-6166 |
| NPI Number | 1518418680 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518418680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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