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Organization

DENTAL PROFESSIONALS OF INDIANA, PC

Active
Parent organization
DENTAL PROFESSIONALS OF INDIANA, PC
Other names
Dental Care at Plainfield Crossing
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF INDIANA, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization

Contact information

Practice address
2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168
(317) 991-1088
Mailing address
2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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