Dental Oasis, P.c.
NPI #1861782120 in Mc Cordsville, Indiana
Provider Information
- NPI Number
- 1861782120
- Entity Type
- Organization
- Organization Name
- Dental Oasis, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 7, 2011
- Last Updated
- Apr 7, 2011
Practice Location
- Address
- 5957 W BROADWAY
- City
- Mc Cordsville
- State
- Indiana
- ZIP Code
- 46055-9355
- Phone
- (317) 402-8521
Authorized Official
- Name
- DR. KELLI ANN LARRABEE-DEWELL, D.D.S.
- Title
- PRESIDENT/DENTIST
- Phone
- (317) 402-8521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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