Center Grove Dental, LLC

NPI #1881152585 in Greenwood, Indiana

Provider Information

NPI Number
1881152585
Entity Type
Organization
Organization Name
Center Grove Dental, LLC
Primary Specialty
Dentist
Enumeration Date
Mar 12, 2019
Last Updated
Mar 12, 2019

Practice Location

Address
4800 W SMITH VALLEY RD STE K
State
Indiana
ZIP Code
46142-9195
Phone
(317) 882-7800

Authorized Official

Name
DR. SUNG H KONG, DDS
Title
OWNER
Phone
(317) 882-7800

Specialties & Taxonomy Codes

Specialty
Dentist

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