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Organization
MOBILE SMILES P.A. LLC
Active
Organization
MOBILE SMILES P.A. LLC
Active
Other names
Smiles Express
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KEITH (OFFICE MANAGER)
(317) 759-1020
Entity
Organization
Contact information
Practice address
5868 E. 71ST ST, INDIANAPOLIS, IN 46220-4002
(317) 759-1020
Mailing address
5868 E 71ST ST, INDIANAPOLIS, IN 46220-4075
(317) 759-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009992
IN
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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