Park Lewis Firebaugh, DDS

NPI #1205951977 in Greencastle, Indiana

Provider Information

NPI Number
1205951977
Entity Type
Individual
Name
Park Lewis Firebaugh, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
819 E FRANKLIN ST
State
Indiana
ZIP Code
46135-1407
Phone
(765) 653-5501

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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