Ireland Dental

NPI #1396955944 in Marion, Indiana

Provider Information

NPI Number: 1396955944
Entity Type: Organization
Organization Name: Ireland Dental
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Aug 8, 2007

Practice Location

Address: 1251 W KEM RD STE G
City: Marion
State: Indiana
ZIP Code: 46952-2555
Phone: (765) 664-5164

Authorized Official

Name: ROBERTA SCHREOEDER
Title: OFFICE MANAGER
Phone: (765) 664-5164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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