Organization
A. C. MELLOH, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDIS C. MELLOH D,D.S. (OWNER)
(317) 356-0919
Entity
Organization
Contact information
Practice address
7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 356-0919
(317) 357-5522
Mailing address
7101 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46239-1207
(317) 356-0919
(317) 357-5522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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