Graber Family Dentistry

NPI 1477786283 - Clinic/Center - 261QD0000X

NPI Details
NPI 1477786283
Enumeration Date 08/26/2009
Last Updated 08/26/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DEREK O DEREK
Position DENTIST
Phone (812) 386-6150
Fax
Practice Location
901 S MAIN ST
PRINCETON IN, 47670-2653, US
Phone (812) 386-6150
Fax
Business Location
PO BOX 604
PRINCETON IN, 47670-0604, US
Phone (812) 386-6150
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Indiana
License Number 12011289A
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According to our database, Graber Family Dentistry NPI is 1477786283, taxonomy code is 261QD0000X and license number is 12011289A, license state is located at Indiana. Graber Family Dentistry physically located at 901 S Main St, Princeton IN, 47670-2653. NPI Number 1033115704 has the healthcare provider type.

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1477786283 NPI number is provided on an as is basis without warranty of any kind. 1477786283 is maintained by the National Plan & Provider Enumeration System. The contents of Graber Family Dentistry are for informational purposes only.