Organization · Type 2 NPI
Kendallville Family Dentistry LLC
Dental Clinic/Center · Kendallville, IN
NPI number
1790504041
Active
Practice location
1843 Ida Red Rd
Kendallville, IN 46755-2873
Mailing address
111 Eagle Cliff Cv
Huntertown, IN 46748-9288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Kendallville
About NPI 1790504041
Kendallville Family Dentistry LLC's National Provider Identifier is 1790504041, issued on Oct 4, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kendallville, IN. The record was last updated on Oct 4, 2024.