Head and Neck Diagnostic Associates, P.c.

NPI #1205884079 in Rensselaer, Indiana

Provider Information

NPI Number: 1205884079
Entity Type: Organization
Organization Name: Head and Neck Diagnostic Associates, P.c.
Primary Specialty: Dentist
Enumeration Date: May 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 331 E AMSLER RD
City: Rensselaer
State: Indiana
ZIP Code: 47978-8591
Phone: (800) 711-8885

Authorized Official

Name: RAYMOND GORDON KLOCKOW, D.D.S.
Title: PRESIDENT
Phone: (800) 711-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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