The Muncie Dental Place L.l.c.

NPI #1508133638 in Muncie, Indiana

Provider Information

NPI Number: 1508133638
Entity Type: Organization
Organization Name: The Muncie Dental Place L.l.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 1804 W MCGALLIARD RD
City: Muncie
State: Indiana
ZIP Code: 47304-2209
Phone: (765) 282-5655

Authorized Official

Name: DR. TERESA MICHELLE WATKINS, D.D.S.
Title: OWNER
Phone: (765) 282-5655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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