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Organization
INDIANA EMERGENCY DENTAL BLOOMINGTON LLC
Active
Organization
INDIANA EMERGENCY DENTAL BLOOMINGTON LLC
Active
Other names
Indiana Emergency Dental
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GARRY DMD (OWNER, DMD)
(317) 979-0078
Entity
Organization
Contact information
Practice address
1600 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2054
(463) 276-0541
Mailing address
1600 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
09/05/2024
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