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Organization
ATLAS FAMILY DENTAL, LLC
Active
Organization
ATLAS FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R HELFERT DDS (MEMBER)
(317) 272-4900
Entity
Organization
Contact information
Practice address
10944 E US HIGHWAY 36, AVON, IN 46123-7980
(317) 272-4900
Mailing address
10944 E US HIGHWAY 36, AVON, IN 46123-7980
(317) 272-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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