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Organization
96TH STREET FAMILY DENTISTRY LLC
Active
Organization
96TH STREET FAMILY DENTISTRY LLC
Active
Other names
Holt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MUNCHEL (REGIONAL MANAGER)
(765) 529-7616
Entity
Organization
Contact information
Practice address
7862 E 96TH ST, FISHERS, IN 46037-9629
(317) 576-9393
Mailing address
340 PARKVIEW DR, NEW CASTLE, IN 47362-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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