Organization
96TH STREET FAMILY DENTISTRY LLC
Active
Other names
Holt Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MUNCHEL (REGIONAL MANAGER)
(765) 529-7616
Entity
Organization
Contact information
Practice address
7862 E 96TH ST, FISHERS, IN 46037-9629
(317) 576-9393
Mailing address
340 PARKVIEW DR, NEW CASTLE, IN 47362-2945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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