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1811070857
SAMUEL BACON
FISHERS, IN
NPI
1811070857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12010486)
Enumeration Date
2006-10-23
Last Update Date
2008-05-12
Business Address
DR. SAMUEL BACON D.D.S.
7340 CROSSING PL STE 200
FISHERS, IN 46038-2785
Phone number: 317-570-5480
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Mailing Address
DR. SAMUEL BACON D.D.S.
7340 CROSSING PL STE 200
FISHERS, IN 46038-2785
Phone number: 317-570-5480
Copy
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