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1386865558
GARY LEE BACON
INDIANAPOLIS, IN
NPI
1386865558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009447A)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
DR. GARY LEE BACON D.D.S.
316 WASHINGTON POINTE DRIVE
INDIANAPOLIS, IN 46229
Phone number: 317-897-1147
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Mailing Address
DR. GARY LEE BACON D.D.S.
316 WASHINGTON POINTE DRIVE
INDIANAPOLIS, IN 46229
Phone number: 317-897-1147
Copy
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