North Vernon Family Dental LLC

NPI #1669820643 in North Vernon, Indiana

Provider Information

NPI Number: 1669820643
Entity Type: Organization
Organization Name: North Vernon Family Dental LLC
Primary Specialty: Dentist
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 623 N STATE ST
City: North Vernon
State: Indiana
ZIP Code: 47265-1043
Phone: (812) 346-6884

Authorized Official

Name: DIPESH SITARAM, DDS
Title: OWNER
Phone: (812) 342-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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