Warrick Park Dental

NPI 1003153354 - Dentist - 1223G0001X

NPI Details
NPI 1003153354
Enumeration Date 01/07/2013
Last Updated 01/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JED MARLIN JED
Position OWNER/DENTIST
Phone (812) 897-4889
Fax (812) 897-8113
Practice Location
800 OFFICE PARK DR
BOONVILLE IN, 47601-8601, US
Phone (812) 897-4889
Fax (812) 897-8113
Business Location
800 OFFICE PARK DR
BOONVILLE IN, 47601-8601, US
Phone (812) 897-4889
Fax (812) 897-8113
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12011465A
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According to our database, Warrick Park Dental NPI is 1003153354, taxonomy code is 1223G0001X and license number is 12011465A, license state is located at Indiana. Warrick Park Dental physically located at 800 Office Park Dr, Boonville IN, 47601-8601. NPI Number 1033115704 has the healthcare provider type.

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1003153354 NPI number is provided on an as is basis without warranty of any kind. 1003153354 is maintained by the National Plan & Provider Enumeration System. The contents of Warrick Park Dental are for informational purposes only.