Hoosier Dentures & Dental Surgery, LLC

NPI #1609002724 in Cicero, Indiana

Provider Information

NPI Number
1609002724
Entity Type
Organization
Organization Name
Hoosier Dentures & Dental Surgery, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 3, 2009
Last Updated
Jun 3, 2009

Practice Location

Address
1200 S PERU ST
City
Cicero
State
Indiana
ZIP Code
46034-9161
Phone
(317) 809-7790

Authorized Official

Name
DR. SCOTT THOLE, DDS
Title
OWNER
Phone
(317) 809-7790

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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