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Organization
BETWEEN THE CHEEKS, PC
Active
Organization
BETWEEN THE CHEEKS, PC
Active
Other names
Smile Design Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WESLEY MILLER R.PH. (CHIEF OPERATING OFFICER)
(317) 293-4611
Entity
Organization
Contact information
Practice address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Mailing address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010288A
IN
183500000X
Pharmacist
26019790A
IN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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