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Organization
INDY DENTAL GROUP NORTH INC.
Active
Organization
INDY DENTAL GROUP NORTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M MILLER DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
322 W MAIN ST, WESTFIELD, IN 46074-9384
(317) 571-1900
(317) 569-9695
Mailing address
322 W MAIN ST, WESTFIELD, IN 46074-9384
(317) 571-1900
(317) 569-9695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009482A
IN
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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