Larry D Rothenberger, INC

NPI #1578940409 in Frankfort, Indiana

Provider Information

NPI Number
1578940409
Entity Type
Organization
Organization Name
Larry D Rothenberger, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 29, 2015
Last Updated
Apr 29, 2015

Practice Location

Address
1253 S JACKSON ST
State
Indiana
ZIP Code
46041-3312
Phone
(765) 659-3351

Authorized Official

Name
MRS. VICKI RUTLEDGE, LDH
Title
PRACTICE MANAGER/DENTAL HYGIENIST
Phone
(765) 659-3351

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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