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Organization
GREENFIELD PERIODONTICS LLC
Active
Organization
GREENFIELD PERIODONTICS LLC
Active
Other names
Greenfield Periodontics and Implant Dentistiry
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE COMBS DDS MS (OWNER)
(317) 477-3000
Entity
Organization
Contact information
Practice address
120 W MCKENZIE RD, STE J, GREENFIELD, IN 46140-1072
(317) 477-3000
(317) 477-3002
Mailing address
120 W MCKENZIE RD, STE J, GREENFIELD, IN 46140-1072
(317) 477-3000
(317) 477-3002
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12011410A
IN
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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