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Organization

MERIDIAN DENTAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN A TRAGER DDS (OWNER)
(317) 926-5467
Entity
Organization

Contact information

Practice address
2291 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5727
(317) 926-5467
(317) 926-6022
Mailing address
2291 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5727
(317) 926-5467
(317) 926-6022

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010793A
IN

Other

Enumeration date
03/15/2011
Last updated
03/15/2011
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