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1609190719
DENTAL HEALTH ASSOC OF IN
BLOOMINGTON, IN
NPI
1609190719
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Entity Type
Organization
Authorized Contact
JENNIFER PURVIS
Ar Manager
317-359-3888
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2010-03-18
Last Update Date
2010-03-18
Business Address
DENTAL HEALTH ASSOC OF IN
3617 W STATE ROAD 46
BLOOMINGTON, IN 47404-9152
Phone number: 812-876-0007
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Mailing Address
DENTAL HEALTH ASSOC OF IN
3617 W STATE ROAD 46
BLOOMINGTON, IN 47404-9152
Phone number: 812-876-0007
Copy
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