SAMUEL BACON

FISHERS, IN
NPI1811070857
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IN  12010486)
Enumeration Date2006-10-23
Last Update Date2008-05-12
Business Address
DR. SAMUEL BACON D.D.S.
7340 CROSSING PL STE 200
FISHERS, IN 46038-2785
Phone number: 317-570-5480
Mailing Address
DR. SAMUEL BACON D.D.S.
7340 CROSSING PL STE 200
FISHERS, IN 46038-2785
Phone number: 317-570-5480