Organization
CHILDREN'S DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE H EDWARDS DDS (DENTIST)
(317) 842-8453
Entity
Organization
Contact information
Practice address
9885 E 116TH ST, STE 100, FISHERS, IN 46037-9241
(317) 842-8453
(317) 842-8741
Mailing address
9885 E 116TH ST, STE 100, FISHERS, IN 46037-9241
(317) 842-8453
(317) 842-8741
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010350A
IN
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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