Woodside Dental Center Llc

NPI 1598923120 - Dentist - 122300000X

NPI Details
NPI 1598923120
Enumeration Date 05/30/2008
Last Updated 05/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MAURICE CHRIS MAURICE
Position OWNER
Phone (812) 944-9929
Fax
Practice Location
1523 STATE ST
NEW ALBANY IN, 47150-4911, US
Phone (812) 944-9929
Fax
Business Location
1523 STATE ST
NEW ALBANY IN, 47150-4911, US
Phone (812) 944-9929
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12010015A
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According to our database, Woodside Dental Center Llc NPI is 1598923120, taxonomy code is 122300000X and license number is 12010015A, license state is located at Indiana. Woodside Dental Center Llc physically located at 1523 State St, New Albany IN, 47150-4911. NPI Number 1033115704 has the healthcare provider type.

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1598923120 NPI number is provided on an as is basis without warranty of any kind. 1598923120 is maintained by the National Plan & Provider Enumeration System. The contents of Woodside Dental Center Llc are for informational purposes only.