A Lynn Dehaven DDS LLC

NPI #1255731543 in Sellersburg, Indiana

Provider Information

NPI Number: 1255731543
Entity Type: Organization
Organization Name: A Lynn Dehaven DDS LLC
Primary Specialty: Dentist
Enumeration Date: Aug 25, 2014
Last Updated: Aug 25, 2014

Practice Location

Address: 105 HUNTER STATION WAY
City: Sellersburg
State: Indiana
ZIP Code: 47172-8915
Phone: (812) 246-1770

Authorized Official

Name: DR. ANGELA L DEHAVEN, DDS
Title: OWNER
Phone: (765) 623-6751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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