| Angola Dental Services, P.c. | |
|
205 E Harcourt Rd Angola IN 46703-7131 | |
| (260) 665-5767 | |
| (260) 665-8606 |
| Full Name | Angola Dental Services, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 205 E Harcourt Rd, Angola, Indiana |
| Authorized Official Name and Position | Guy J Moore (OWNER/PRESIDENT) |
| Authorized Official Contact | 2606655767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angola Dental Services, P.c. 205 E Harcourt Rd Angola IN 46703-7131 Ph: (260) 665-5767 | Angola Dental Services, P.c. 205 E Harcourt Rd Angola IN 46703-7131 Ph: (260) 665-5767 |
| NPI Number | 1790471183 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790471183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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