IMMEDIADENT OF INDIANA, P.C.

INDIANAPOLIS, IN
NPI1679966410
Entity TypeOrganization
Authorized ContactMONICA L LONG
Manager Of Provider Credentialing
913-428-1686
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2015-03-17
Last Update Date2017-04-27
Business Address
IMMEDIADENT OF INDIANA, P.C.
8906 ROCKVILLE RD
INDIANAPOLIS, IN 46234-2732
Phone number: 317-209-9077
Mailing Address
IMMEDIADENT OF INDIANA, P.C.
PO BOX 11568
OVERLAND PARK, KS 66207-4268
Phone number: 913-428-1686
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