A L DEHAVEN DDS LLC

SCOTTSBURG, IN
NPI1952705931
Entity TypeOrganization
Authorized ContactANGELA L DEHAVEN
Owner
765-623-6751
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009405)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
A L DEHAVEN DDS LLC
1366 N GARDNER ST BOX 330
SCOTTSBURG, IN 47170-7793
Phone number: 812-752-3524
Mailing Address
A L DEHAVEN DDS LLC
1366 N GARDNER ST BOX 330
SCOTTSBURG, IN 47170-7793
Phone number: 812-752-3524
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