Dentistry for Children of Indiana, LLC

NPI #1720543564 in Muncie, Indiana

Provider Information

NPI Number: 1720543564
Entity Type: Organization
Organization Name: Dentistry for Children of Indiana, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 6, 2019
Last Updated: Feb 6, 2019

Practice Location

Address: 2220 W MCGALLIARD RD
City: Muncie
State: Indiana
ZIP Code: 47304-2188
Phone: (765) 288-8812

Authorized Official

Name: TAMONIA LEONARD
Title: CREDENTIALING SPECIALIST
Phone: (678) 244-4844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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