10439 E US Highway 36 Dental, LLC

NPI #1023546629 in Avon, Indiana

Provider Information

NPI Number
1023546629
Entity Type
Organization
Organization Name
10439 E US Highway 36 Dental, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 25, 2017
Last Updated
Jun 14, 2018

Practice Location

Address
10439 E US HIGHWAY 36
City
Avon
State
Indiana
ZIP Code
46123
Phone
(317) 300-0577

Authorized Official

Name
ALLEE MERTES
Title
DIRECTOR OF COMPLIANCE
Phone
(614) 288-5384

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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