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Organization
INDY DENTAL GROUP WF, INC.
Active
Organization
INDY DENTAL GROUP WF, INC.
Active
Other names
INDY DENTAL GROUP WESTFIELD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B LEWIS DDS (OWNER)
(317) 867-5400
Entity
Organization
Contact information
Practice address
16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
(317) 867-5400
(317) 867-5477
Mailing address
16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
(317) 867-5400
(317) 867-5477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
01/18/2007
Last updated
01/01/2014
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