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1053316901
GLEN D MIDDAUGH
TERRE HAUTE, IN
NPI
1053316901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12010393)
Enumeration Date
2005-06-16
Last Update Date
2014-11-18
Business Address
-- GLEN D MIDDAUGH DDS
2801 ANTON ROAD
TERRE HAUTE, IN 47803
Phone number: 812-877-6724
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Mailing Address
-- GLEN D MIDDAUGH DDS
2801 ANTON ROAD
TERRE HAUTE, IN 47803
Phone number: 812-877-6724
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