| NPI | 1447044003 |
|---|---|
| Doing Business As | EVANSVILLE MAIN STREET FAMILY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | AUSTIN BRIGGS HIXENBAUGH Owner/Dentist 419-302-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-09-12 |