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1114031952
SOUTHEAST DENTAL GROUP
INDIANAPOLIS, IN
NPI
1114031952
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Entity Type
Organization
Authorized Contact
MARK V BOHNERT
President/Owner
317-359-1754
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-08-18
Last Update Date
2020-08-22
Business Address
SOUTHEAST DENTAL GROUP
6020 SOUTHEASTERN AVE
INDIANAPOLIS, IN 46203-5611
Phone number: 317-359-1754
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Mailing Address
SOUTHEAST DENTAL GROUP
6020 SOUTHEASTERN AVE
INDIANAPOLIS, IN 46203-5611
Phone number: 317-359-1754
Copy
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