Newburgh Modern Dentistry LLC

NPI #1578208021 in Newburgh, Indiana

Provider Information

NPI Number
1578208021
Entity Type
Organization
Organization Name
Newburgh Modern Dentistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 29, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
3944 STATE ROAD 261
State
Indiana
ZIP Code
47630
Phone
(812) 616-5444

Authorized Official

Name
BASAL K HASSAN, DDS
Title
OWNER
Phone
(812) 616-5444

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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