Organization
CASTLETON GENERAL & IMPLANT DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS B MARRS DDS (OWNER)
(317) 849-3597
Entity
Organization
Contact information
Practice address
6535 E 82ND ST, SUITE 211, INDIANAPOLIS, IN 46250-4524
(317) 849-3597
(317) 913-0641
Mailing address
6535 E 82ND ST, SUITE 211, INDIANAPOLIS, IN 46250-4524
(317) 849-3597
(317) 913-0641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011157A
IN
Other
Enumeration date
09/16/2008
Last updated
01/09/2020
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