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1902053200
JACK DONALD SUMMERLIN
INDIANAPOLIS, IN
NPI
1902053200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12011175A)
Enumeration Date
2008-08-19
Last Update Date
2020-12-28
Business Address
Dr. JACK DONALD SUMMERLIN D.D.S.
3351 N MERIDIAN ST SUITE 105
INDIANAPOLIS, IN 46208-4675
Phone number: 317-926-5200
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Mailing Address
Dr. JACK DONALD SUMMERLIN D.D.S.
3351 N MERIDIAN ST SUITE 105
INDIANAPOLIS, IN 46208-4675
Phone number: 317-926-5200
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