Individual
MARK ELIOTT GLEIXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1678 FRY RD, SUITE B, GREENWOOD, IN 46142-1146
(317) 885-7760
(317) 885-7813
Mailing address
1678 FRY RD, SUITE B, GREENWOOD, IN 46142-1146
(317) 885-7760
(317) 885-7813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008388
IN
Other
Enumeration date
02/06/2006
Last updated
05/23/2013
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