Organization
INDIANAPOLIS PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN FUSON PHILLIPS DDS (MEMBER)
(317) 872-7272
Entity
Organization
Contact information
Practice address
8433 HARCOURT RD, SUITE 307, INDIANAPOLIS, IN 46260-2190
(317) 872-7272
Mailing address
8433 HARCOURT RD, SUITE 307, INDIANAPOLIS, IN 46260-2190
(317) 872-7272
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010493A
IN
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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