Organization
INDY DENTAL GROUP WF, INC.
Active
Other names
INDY DENTAL GROUP WESTFIELD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B LEWIS DDS (OWNER)
(317) 867-5400
Entity
Organization
Contact information
Practice address
16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
(317) 867-5400
(317) 867-5477
Mailing address
16407 SOUTHPARK DR, SUITE B, WESTFIELD, IN 46074-8472
(317) 867-5400
(317) 867-5477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
01/18/2007
Last updated
01/01/2014
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