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Organization
INDY DENTAL GROUP WEST 86TH, INC.
Active
Organization
INDY DENTAL GROUP WEST 86TH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B LEWIS DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
3711 W 86TH ST, INDIANAPOLIS, IN 46268-1904
(317) 571-1900
(317) 569-9695
Mailing address
3711 W 86TH ST, INDIANAPOLIS, IN 46268-1904
(317) 571-1900
(317) 569-9695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479A
IN
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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