Organization
MADISON AVE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURUSH SAVABI DDS (OWNER)
(317) 417-7486
Entity
Organization
Contact information
Practice address
701 N MADISON AVE, GREENWOOD, IN 46142-4126
(317) 881-4305
Mailing address
701 N MADISON AVE, GREENWOOD, IN 46142-4126
(317) 881-4305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011832A
IN
Other
Enumeration date
08/23/2018
Last updated
12/06/2020
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