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1548394505
GREG A ORTMAN
LAFAYETTE, IN
NPI
1548394505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12008716A)
Enumeration Date
2007-03-14
Last Update Date
2011-04-21
Business Address
-- GREG A ORTMAN D.D.S.
1530 KOSSUTH ST
LAFAYETTE, IN 47905-1561
Phone number: 765-447-0322
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Mailing Address
-- GREG A ORTMAN D.D.S.
740 DUNBAR CT
LAFAYETTE, IN 47905-8799
Phone number: 765-448-3302
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