Organization
MITTHOEFFER FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA HURLEY (PRACTICE DIRECTOR)
(317) 926-5467
Entity
Organization
Contact information
Practice address
2236 N MITTHOEFFER RD, INDIANAPOLIS, IN 46229-1797
(317) 897-5093
Mailing address
2236 N MITTHOEFFER RD, INDIANAPOLIS, IN 46229-1797
(317) 897-5093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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