Organization
THOMPSON FAMILY DENTAL AT NORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIYUN THOMPSON DDS (PRESIDENT/ DENTIST/OWNER)
(317) 846-9444
Entity
Organization
Contact information
Practice address
1060 E 86TH ST STE 59, INDIANAPOLIS, IN 46240-1831
(317) 846-9444
Mailing address
1060 E 86TH ST STE 59, INDIANAPOLIS, IN 46240-1831
(317) 846-9444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011822A
IN
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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