Kdg Indiana One LLC
NPI #1104337351 in Seymour, Indiana
Provider Information
- NPI Number
- 1104337351
- Entity Type
- Organization
- Organization Name
- Kdg Indiana One LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KENTUCKIANA DENTAL GROUP
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 16, 2017
- Last Updated
- Oct 16, 2017
Practice Location
Authorized Official
- Name
- ADRIENNE NICHOLSON
- Title
- FINANCIAL COORDINATOR
- Phone
- (812) 523-1860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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