Rensselaer Family Denitistry LLC

NPI #1801102868 in Rensselaer, Indiana

Provider Information

NPI Number
1801102868
Entity Type
Organization
Organization Name
Rensselaer Family Denitistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 27, 2010
Last Updated
Aug 27, 2010

Practice Location

Address
210 N FRONT ST
State
Indiana
ZIP Code
47978-2620
Phone
(219) 866-4533

Authorized Official

Name
JAMES CASTOR, DDS
Title
OWNER
Phone
(219) 866-4533

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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