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Organization
INDY DENTAL AND ORAL SURGERY LLC
Active
Organization
INDY DENTAL AND ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX WALKER DMD (OWNER)
(317) 379-4328
Entity
Organization
Contact information
Practice address
1103 E 10TH ST, INDIANAPOLIS, IN 46202-3728
(317) 295-2211
Mailing address
1103 E 10TH ST, INDIANAPOLIS, IN 46202-3728
(317) 379-4328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
12/20/2023
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