Organization
INDIANA CENTER FOR SURGICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL MONTES DDS (SOLE PROPRIETOR)
(317) 257-5442
Entity
Organization
Contact information
Practice address
6117 N COLLEGE AVE, SUITE 4, INDIANAPOLIS, IN 46220-2233
(317) 257-5442
Mailing address
6117 N COLLEGE AVE, SUITE 4, INDIANAPOLIS, IN 46220-2233
(317) 257-5442
(317) 203-1113
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IN
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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