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Organization
HOOSIER DENTURES & DENTAL SURGERY, LLC
Active
Organization
HOOSIER DENTURES & DENTAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT THOLE DDS (OWNER)
(317) 809-7790
Entity
Organization
Contact information
Practice address
1200 S PERU ST, CICERO, IN 46034-9161
(317) 809-7790
Mailing address
1200 S PERU ST, CICERO, IN 46034-9161
(317) 809-7790
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010014
IN
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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