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1255731543
A LYNN DEHAVEN DDS LLC
SELLERSBURG, IN
NPI
1255731543
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Entity Type
Organization
Authorized Contact
ANGELA L DEHAVEN
Owner
765-623-6751
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009405)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
A LYNN DEHAVEN DDS LLC
105 HUNTER STATION WAY
SELLERSBURG, IN 47172-8915
Phone number: 812-246-1770
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Mailing Address
A LYNN DEHAVEN DDS LLC
108 SHAMROCK CIR #1
PENDLETON, IN 46064-8563
Phone number: 765-623-6751
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