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Organization
ZACHARY A CAMPANO DDS LLC
Active
Organization
ZACHARY A CAMPANO DDS LLC
Active
Other names
Campano Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY CAMPANO DDS (OWNER)
(317) 865-3733
Entity
Organization
Contact information
Practice address
3001 MERIDIAN MEADOWS RD, GREENWOOD, IN 46142-1011
(317) 865-3733
Mailing address
3001 MERIDIAN MEADOWS RD, GREENWOOD, IN 46142-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011684A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201243540A
—
IN
Enumeration date
07/02/2015
Last updated
07/02/2015
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