Organization
MS VIBBERT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADNA V (OM)
(131) 780-2064
Entity
Organization
Contact information
Practice address
7301 GEORGETOWN RD STE 113, INDIANAPOLIS, IN 46268-4157
(317) 802-0649
Mailing address
7301 GEORGETOWN RD STE 113, INDIANAPOLIS, IN 46268-4157
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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