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1548776685
EDP OF INDIANA, PC
INDIANAPOLIS, IN
NPI
1548776685
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Entity Type
Organization
Authorized Contact
ROSEANNE BRUNENKANT
Director Of Integration
312-937-3619
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-12-27
Last Update Date
2019-09-16
Business Address
EDP OF INDIANA, PC
5470 LAFAYETTE RD
INDIANAPOLIS, IN 46254-1620
Phone number: 317-293-4611
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Mailing Address
EDP OF INDIANA, PC
141 W JACKSON BLVD STE 210
CHICAGO, IL 60604-3048
Phone number: 312-937-3619
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