# CONDRA COSMETIC AND FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033689112
- **Authorized official:** DR. SARAH CONDRA DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 691-0359

## Contact information

- **Practice address:** 8001 SHELBY ST, INDIANAPOLIS, IN 46227-5970
- **Practice address phone:** (317) 888-7295
- **Practice address fax:** (317) 888-7297
- **Mailing address:** 8001 SHELBY ST, INDIANAPOLIS, IN 46227-5970
- **Mailing address phone:** (317) 888-7295
- **Mailing address fax:** (317) 888-7297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 11/30/2018