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Organization
EAST INDIANAPOLIS ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
EAST INDIANAPOLIS ORAL AND MAXILLOFACIAL SURGERY
Active
Other names
Steven C. Graham, DDS, Matthew C. Moll, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C MOLL DDS (OWNER)
(317) 353-1320
Entity
Organization
Contact information
Practice address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Mailing address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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