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1912038258
JON TYLER VANDEVENTER
NEWBURGH, IN
NPI
1912038258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12010766A)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Dr. JON TYLER VANDEVENTER D.D.S.
8099 ROSE HILL DR
NEWBURGH, IN 47630-2384
Phone number: 812-853-2961
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Mailing Address
Dr. JON TYLER VANDEVENTER D.D.S.
8099 ROSE HILL DR
NEWBURGH, IN 47630-2384
Phone number: 812-853-2961
Copy
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