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Organization
ADVANCED ENDOCARE
Active
Organization
ADVANCED ENDOCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN GODWIN STUART DDS, MSD (OWNER/PRESIDENT OF ADVANCED ENDOCAR)
(317) 848-7778
Entity
Organization
Contact information
Practice address
13590 B NORTH MERIDIAN ST, SUITE 104, CARMEL, IN 46032
(317) 848-7778
(317) 571-8368
Mailing address
13590 B NORTH MERIDIAN ST, SUITE 104, CARMEL, IN 46032
(317) 848-7778
(317) 571-8368
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12008500
IN
Other
Enumeration date
09/01/2006
Last updated
08/15/2008
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