Amazing Dental

NPI 1174841126 - Dentist - 122300000X

NPI Details
NPI 1174841126
Enumeration Date 05/13/2010
Last Updated 05/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RUTHIE M RUTHIE
Position PRESIDENT
Phone (812) 488-2008
Fax (812) 475-9831
Practice Location
5200 WASHINGTON AVE
SUITE E
EVANSVILLE IN, 47715-4863, US
Phone (812) 488-2008
Fax (812) 475-9831
Business Location
5200 WASHINGTON AVE
SUITE E
EVANSVILLE IN, 47715-4863, US
Phone (812) 488-2008
Fax (812) 475-9831
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12011105A
Remove 1174841126 NPI Number
 

According to our database, Amazing Dental NPI is 1174841126, taxonomy code is 122300000X and license number is 12011105A, license state is located at Indiana. Amazing Dental physically located at 5200 Washington Ave, Evansville IN, 47715-4863. NPI Number 1033115704 has the healthcare provider type.

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1174841126 NPI number is provided on an as is basis without warranty of any kind. 1174841126 is maintained by the National Plan & Provider Enumeration System. The contents of Amazing Dental are for informational purposes only.