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Organization
INDY DENTAL GROUP 93RD, INC.
Active
Organization
INDY DENTAL GROUP 93RD, INC.
Active
Other names
INDY DENTAL GROUP, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B LEWIS DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1806
(317) 846-6125
(317) 846-6282
Mailing address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1806
(317) 846-6125
(317) 846-6282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
10/12/2006
Last updated
01/01/2014
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