Sandcrest Dental Health LLC

NPI #1083037782 in Columbus, Indiana

Provider Information

NPI Number: 1083037782
Entity Type: Organization
Organization Name: Sandcrest Dental Health LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 31, 2014
Last Updated: Jan 31, 2014

Practice Location

Address: 2525 SANDCREST BLVD
City: Columbus
State: Indiana
ZIP Code: 47203-3048
Phone: (812) 372-6165

Authorized Official

Name: DR. LUCIANA KANO-WILSON, D.D.S.
Title: CO-OWNER
Phone: (812) 372-6165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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