| Sandcrest Dental Health Llc | |
|
2525 Sandcrest Blvd Columbus IN 47203-3048 | |
| (812) 372-6165 | |
| (812) 372-3065 |
| Full Name | Sandcrest Dental Health Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 Sandcrest Blvd, Columbus, Indiana |
| Authorized Official Name and Position | Luciana Kano-wilson (CO-OWNER) |
| Authorized Official Contact | 8123726165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandcrest Dental Health Llc 2525 Sandcrest Blvd Columbus IN 47203-3048 Ph: (812) 372-6165 | Sandcrest Dental Health Llc 2525 Sandcrest Blvd Columbus IN 47203-3048 Ph: (812) 372-6165 |
| NPI Number | 1083037782 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083037782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011382 (Indiana) | Primary |
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