Madison Ave Dental LLC

NPI #1063993582 in Greenwood, Indiana

Provider Information

NPI Number: 1063993582
Entity Type: Organization
Organization Name: Madison Ave Dental LLC
Primary Specialty: Dentist
Enumeration Date: Aug 23, 2018
Last Updated: Dec 6, 2020

Practice Location

Address: 701 N MADISON AVE
City: Greenwood
State: Indiana
ZIP Code: 46142-4126
Phone: (317) 881-4305

Authorized Official

Name: DR. KURUSH SAVABI, DDS
Title: OWNER
Phone: (317) 417-7486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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