Individual
DR. THOMAS EDWARD DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1537 S SCATTERFIELD RD, ANDERSON, IN 46016-5766
(765) 649-4995
Mailing address
4128 WYTHE LN, INDIANAPOLIS, IN 46250-4224
(317) 750-3855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010819A
IN
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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