42 NORTH DENTAL CARE OF INDIANA, LLC

INDIANAPOLIS, IN
NPI1164171609
Entity TypeOrganization
Authorized ContactMICHAEL ANGELO SCIALABBA
Chief Clinical Officer
561-512-2709
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
42 NORTH DENTAL CARE OF INDIANA, LLC
7202 N SHADELAND AVE STE A
INDIANAPOLIS, IN 46250-2086
Phone number: 317-577-2578
Mailing Address
42 NORTH DENTAL CARE OF INDIANA, LLC
7202 N SHADELAND AVE STE A
INDIANAPOLIS, IN 46250-2086
Phone number: