Organization
ERIC L TREADWELL INC
Active
Other names
Epler Parke Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L TREADWELL DDS (OWNER)
(317) 786-1733
Entity
Organization
Contact information
Practice address
5510 S EAST ST STE A, INDIANAPOLIS, IN 46227-1939
(317) 786-1733
(317) 786-8367
Mailing address
5510 S EAST ST STE A, INDIANAPOLIS, IN 46227-1939
(317) 786-1733
(317) 786-8367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200217510
—
IN
Enumeration date
05/18/2015
Last updated
05/18/2015
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