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Organization
GLENDALE DENTAL ASSOCIATES II, P.C.
Active
Organization
GLENDALE DENTAL ASSOCIATES II, P.C.
Active
Other names
Glendale Dental Associates PC II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHO DDS (OWNER/DENTIST)
(317) 251-0085
Entity
Organization
Contact information
Practice address
6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
(317) 251-0085
(317) 259-9084
Mailing address
6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
(317) 251-0085
(317) 259-9084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12010540A
—
IN
Enumeration date
01/31/2008
Last updated
12/03/2018
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