| Rensselaer Family Denitistry Llc | |
|
210 N Front St Rensselaer IN 47978-2620 | |
| (219) 866-4533 | |
| Not Available |
| Full Name | Rensselaer Family Denitistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 N Front St, Rensselaer, Indiana |
| Authorized Official Name and Position | James Castor (OWNER) |
| Authorized Official Contact | 2198664533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rensselaer Family Denitistry Llc 210 N Front St Rensselaer IN 47978-2620 Ph: (219) 866-4533 | Rensselaer Family Denitistry Llc 210 N Front St Rensselaer IN 47978-2620 Ph: (219) 866-4533 |
| NPI Number | 1801102868 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801102868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009225 (Indiana) | Primary |
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