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1366512832
DAVID SCOTT JARDENIL
PORTAGE, IN
NPI
1366512832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN 12008911)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. DAVID SCOTT JARDENIL D.D.S.
3204 LANCER ST STE. B
PORTAGE, IN 46368-4490
Phone number: 219-762-1806
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Mailing Address
Dr. DAVID SCOTT JARDENIL D.D.S.
3204 LANCER ST STE. B
PORTAGE, IN 46368-4490
Phone number: 219-762-1806
Copy
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