Individual
JOHN R RETRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9880 WESTPOINT DR, SUITE 600, INDIANAPOLIS, IN 46256-3384
(317) 849-5900
Mailing address
9880 WESTPOINT DR, SUITE 600, INDIANAPOLIS, IN 46256-3384
(317) 849-5900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012429A
IN
Other
Enumeration date
09/14/2011
Last updated
06/16/2016
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