Individual provider · NPI-1

Patricia Flores, DDS

Dentist · Peru, IN

NPI number1073384509
StatusActive
Last updated in NPPESMay 30, 2024

Details

NPI
1073384509
Entity type
Individual (NPI-1)
Name
Patricia Flores
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2024
Certification date
May 30, 2024
Last updated
May 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist12014442AINYes

Practice location

980 N Broadway
Peru, IN 46970-1021

Phone 765-473-0141

Mailing address

980 N Broadway
Peru, IN 46970-1021

Phone 765-473-0141

Other practice locations

1903 Alber St
Wabash, IN 46992-1045

Phone 260-225-0527

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