West Side LLC
NPI #1003928789 in West Lafayette Bra, Indiana
Provider Information
- NPI Number
- 1003928789
- Entity Type
- Organization
- Organization Name
- West Side LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3412 KLONDIKE RD
- State
- Indiana
- ZIP Code
- 47906-5218
- Phone
- (765) 463-6726
Authorized Official
- Name
- JOHN PIPERIS JAMES, DDS
- Title
- PRESIDENT
- Phone
- (765) 463-6726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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