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Organization

FAIRVIEW FAMILY DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN TRAGER DDS (OWNER)
(317) 926-5467
Entity
Organization

Contact information

Practice address
3195 W FAIRVIEW RD STE B, GREENWOOD, IN 46142-8499
(317) 887-0888
Mailing address
2291 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5727
(317) 926-5467
(317) 926-6022

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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