Organization
RONALD K. ALLEN DDS MSD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELEAH ABLITAR (OFFICE MANAGER)
(317) 260-1145
Entity
Organization
Contact information
Practice address
9524 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3031
(317) 898-2311
Mailing address
9524 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3031
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454310A
—
IN
Enumeration date
09/16/2022
Last updated
09/16/2022
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