Organization · Type 2 NPI
Dennis L Church DDS Inc
Dental Clinic/Center · Elwood, IN
NPI number
1790849313
Active
Practice location
213 North 16th St
Elwood, IN 46036
Fax (765) 552-5106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 12007767A (IN) |
Dental Clinic/Center: Definition to come...
About NPI 1790849313
Dennis L Church DDS Inc's National Provider Identifier is 1790849313, issued on Dec 20, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elwood, IN. The record was last updated on Aug 22, 2020.