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Organization
HAZEL DELL CROSSING DENTAL LLC
Active
Organization
HAZEL DELL CROSSING DENTAL LLC
Active
Other names
Clarity Dentistry Hazel Dell Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SANFORD DDS (MANAGING MEMBER)
(317) 491-5095
Entity
Organization
Contact information
Practice address
14555 HAZEL DELL PKWY STE 130, CARMEL, IN 46033-7234
(317) 491-5095
Mailing address
14555 HAZEL DELL PKWY STE 130, CARMEL, IN 46033-7234
(317) 491-5095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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