Organization
PHYLLIS R INDIANER DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS R INDIANER DDS (OWNER)
(248) 651-1555
Entity
Organization
Contact information
Practice address
1423 WALTON BLVD, ROCHESTER HILLS, MI 48309-1775
(248) 651-1555
(248) 651-0560
Mailing address
1423 WALTON BLVD, ROCHESTER HILLS, MI 48309-1775
(248) 651-1555
(248) 651-0560
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
012808
MI
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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