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1154458685
GREGORY A VELLIGAN
INDIANAPOLIS, IN
NPI
1154458685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009273)
Enumeration Date
2007-02-28
Last Update Date
2012-10-02
Business Address
-- GREGORY A VELLIGAN DDS
10942 FAWN LAKE DR
INDIANAPOLIS, IN 46278-9552
Phone number: 317-339-2268
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Mailing Address
-- GREGORY A VELLIGAN DDS
10942 FAWN LAKE DR
INDIANAPOLIS, IN 46278-9552
Phone number: 317-339-2268
Copy
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