Organization
GREENFIELD PERIODONTICS LLC
Active
Other names
Greenfield Periodontics and Implant Dentistiry
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE COMBS DDS MS (OWNER)
(317) 477-3000
Entity
Organization
Contact information
Practice address
120 W MCKENZIE RD, STE J, GREENFIELD, IN 46140-1072
(317) 477-3000
(317) 477-3002
Mailing address
120 W MCKENZIE RD, STE J, GREENFIELD, IN 46140-1072
(317) 477-3000
(317) 477-3002
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12011410A
IN
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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