A L DEHAVEN DDS LLC

SCOTTSBURG, IN
NPI1003210204
Entity TypeOrganization
Authorized ContactANGELA L DEHAVEN
Owner
765-623-6751
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009405)
Enumeration Date2014-10-16
Last Update Date2014-10-16
Business Address
A L DEHAVEN DDS LLC
1366 N GARDNER ST BOX 330
SCOTTSBURG, IN 47170-7793
Phone number: 812-752-3524
Mailing Address
A L DEHAVEN DDS LLC
3225 NICHOL AVE
ANDERSON, IN 46011-3148
Phone number: 765-642-7717
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A L DEHAVEN DDS LLC