Organization
INDY DENTAL GROUP WESTFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH B LEWIS DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
16407 SOUTHPARK DR, WESTFIELD, IN 46074-8472
(317) 571-1900
Mailing address
16407 SOUTHPARK DR, WESTFIELD, IN 46074-8472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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