Maple Family Dentistry LLC

NPI #1073656740 in Logansport, Indiana

Provider Information

NPI Number
1073656740
Entity Type
Organization
Organization Name
Maple Family Dentistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 14, 2007
Last Updated
Jul 25, 2007

Practice Location

Address
718 E BROADWAY
State
Indiana
ZIP Code
46947-3158
Phone
(574) 753-4717

Authorized Official

Name
DR. WENDY DIANN MAPLE, DDS
Title
OWNER
Phone
(574) 753-4717

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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