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Organization
DENTAL PROFESSIONALS OF INDIANA, PC
Active
Organization
DENTAL PROFESSIONALS OF INDIANA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF INDIANA, PC
Other names
Dental Care at Plainfield Crossing
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF INDIANA, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168
(317) 991-1088
Mailing address
2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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