Lifetime Dental Care of Indiana, PC

NPI #1710109194 in Richmond, Indiana

Provider Information

NPI Number
1710109194
Entity Type
Organization
Organization Name
Lifetime Dental Care of Indiana, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2519 EAST MAIN STREET
Address 2
SUITE 112
State
Indiana
ZIP Code
47375
Phone
(765) 962-1519

Authorized Official

Name
AMY KROEGER
Title
INS COOD
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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