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1366512972
MICHAEL JOSEPH DEADY
TERRE HAUTE, IN
NPI
1366512972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: IN 12006188)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
MICHAEL JOSEPH DEADY DDS
1630 POPLAR ST
TERRE HAUTE, IN 47807
Phone number: 812-232-2108
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Mailing Address
MICHAEL JOSEPH DEADY DDS
1630 POPLAR ST
TERRE HAUTE, IN 47807
Phone number: 812-232-2108
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MICHEAL J DEADY DDS INC