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Organization

INDIAN CREEK FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON STROPES (DENTIST)
(812) 597-5857
Entity
Organization

Contact information

Practice address
5938 WEST SR 135, TRAFALGAR, IN 46181
(812) 597-5857
Mailing address
5938 WEST SR 135, TRAFALGAR, IN 46181
(812) 597-5857

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12012937A
IN DENTAL LICENSE
IN
01
1851883334
NPI TYPE 1
IN
Enumeration date
06/11/2019
Last updated
06/11/2019
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