Individual
DR. VINICIUS DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1121 W MICHIGAN ST # DS307B, INDIANAPOLIS, IN 46202-5186
(317) 274-7433
(317) 274-2603
Mailing address
1121 W MICHIGAN ST # DS307B, INDIANAPOLIS, IN 46202-5186
(317) 274-7433
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
98000992A
IN
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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