Vdp Wabash LLC

NPI #1588289169 in Wabash, Indiana

Provider Information

NPI Number: 1588289169
Entity Type: Organization
Organization Name: Vdp Wabash LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VDP WABASH LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 278 MANCHESTER AVE.
Address 2: 278 MANCHESTER AVE.
City: Wabash
State: Indiana
ZIP Code: 46992
Phone: (260) 563-4065

Authorized Official

Name: MR. BRADLEY DANIEL HUGHES, DMD
Title: DENTIST/ OWNER OF BUSINESS
Phone: (260) 563-4065

Specialties & Taxonomy Codes

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

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