Idc Dental Group, Inc.
NPI #1093164535 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1093164535
- Entity Type
- Organization
- Organization Name
- Idc Dental Group, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 6, 2016
Practice Location
- Address
- 5150 E STOP 11 RD
- Address 2
- SUITE 11
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46237-8628
- Phone
- (317) 889-6000
Authorized Official
- Name
- DR. KELLIE MICHELLE SCHAUB, DDS, MSD
- Title
- OWNER/PRESIDENT
- Phone
- (317) 884-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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