Rensselaer Family Dentistry 2 Llc | |
210 N Front St Rensselaer IN 47978-2620 | |
(219) 866-4533 | |
Not Available |
Full Name | Rensselaer Family Dentistry 2 Llc |
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Speciality | Dentist |
Location | 210 N Front St, Rensselaer, Indiana |
Authorized Official Name and Position | Anne Sy (OWNER) |
Authorized Official Contact | 2198664533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rensselaer Family Dentistry 2 Llc 210 N Front St Rensselaer IN 47978-2620 Ph: () - | Rensselaer Family Dentistry 2 Llc 210 N Front St Rensselaer IN 47978-2620 Ph: (219) 866-4533 |
NPI Number | 1518206812 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 02/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518206812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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