# MARCIA A SODER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396043154
- **Authorized official:** LYNNE WRIGHT (OFFICE MANAGER)
- **Authorized official phone:** (317) 293-5011

## Contact information

- **Practice address:** 6002 W 62ND ST, INDIANAPOLIS, IN 46278-2909
- **Practice address phone:** (317) 293-5011
- **Practice address fax:** (317) 291-7693
- **Mailing address:** 6002 W 62ND ST, INDIANAPOLIS, IN 46278-2909
- **Mailing address phone:** (317) 293-5011
- **Mailing address fax:** (317) 291-7693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200 8734 | IN | Yes |

## Other

- **Enumeration date:** 03/03/2011
- **Last updated:** 03/03/2011