Organization
HOOSIER PEDIATRIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY P JOSHI DDS, MSD (PEDIATRIC DENTIST/OWNER)
(317) 213-7454
Entity
Organization
Contact information
Practice address
306 S BALDWIN AVE, MARION, IN 46952-3528
(765) 201-0313
Mailing address
9842 BEAVER CREEK LN, SUITE 3312, FISHERS, IN 46037-6532
(765) 201-0313
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010878A
IN
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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