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Organization
VIVA DENTAL
Active
Organization
VIVA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CABBELL (OFFICE MANAGER)
(317) 522-0908
Entity
Organization
Contact information
Practice address
3837 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254
(317) 522-0908
(317) 282-0682
Mailing address
3837 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2742
(317) 522-0908
(317) 282-0682
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010607A
IN
Other
Enumeration date
01/09/2017
Last updated
07/10/2018
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