Organization
FIORENZA DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT A FIORENZA DDS (PRESIDENT)
(317) 886-7803
Entity
Organization
Contact information
Practice address
438 S EMERSON AVE STE 230, GREENWOOD, IN 46143-1948
(317) 886-7803
Mailing address
438 S EMERSON AVE STE 230, GREENWOOD, IN 46143-1948
(317) 886-7803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012160A
IN
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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