PLYMOUTH 20/20 DENTAL, LLC

PLYMOUTH, IN
NPI1689122491
Entity TypeOrganization
Authorized ContactRONALD I PROKES
Chief Financial Officer
317-601-6010
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
PLYMOUTH 20/20 DENTAL, LLC
1409 N MICHIGAN ST
PLYMOUTH, IN 46563-1119
Phone number: 574-936-8787
Mailing Address
PLYMOUTH 20/20 DENTAL, LLC
1409 N MICHIGAN ST
PLYMOUTH, IN 46563-1119
Phone number: 574-936-8787