Conner Dentistry LLC

NPI #1629354428 in Wabash, Indiana

Provider Information

NPI Number: 1629354428
Entity Type: Organization
Organization Name: Conner Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 1146 N CASS ST
Address 2: SUITE C
City: Wabash
State: Indiana
ZIP Code: 46992-1081
Phone: (260) 563-4805

Authorized Official

Name: DR. JOHN D CONNER, D.D.S.
Title: MANAGING MEMBER/PRESIDENT
Phone: (260) 563-4805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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