Organization
PROFESSIONAL DENTAL SERVICES OF INDIANA PC
Active
Other names
Bright Tiger Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SWOVERLAND DDS (DENTIST/OWNER)
(913) 355-1121
Entity
Organization
Contact information
Practice address
4960 S EMERSON AVE, INDIANAPOLIS, IN 46203-5937
(317) 886-1578
Mailing address
10601 MISSION RD STE 240, LEAWOOD, KS 66206-2427
(913) 355-1121
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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