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Organization
EGR DENTAL MANAGEMENT LLC
Active
Organization
EGR DENTAL MANAGEMENT LLC
Active
Other names
Keystone Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN ROBBINS DDS (OWNER/DENTIST)
(317) 252-5480
Entity
Organization
Contact information
Practice address
5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
(317) 252-5480
(317) 252-5482
Mailing address
5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
(317) 252-5480
(317) 252-5482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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