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Organization
LEFEVRE DENTISTRY, INC
Active
Organization
LEFEVRE DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELAYNE MARIE LEFEVRE D.D.S. (PRESIDENT)
(317) 867-3335
Entity
Organization
Contact information
Practice address
5520 PEBBLE VILLAGE LN, SUITE 200, NOBLESVILLE, IN 46062-7423
(317) 867-3335
(317) 867-3337
Mailing address
5520 PEBBLE VILLAGE LN, SUITE 200, NOBLESVILLE, IN 46062-7423
(317) 867-3335
(317) 867-3337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10831
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200870170 A
—
IN
Enumeration date
10/04/2010
Last updated
10/04/2010
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