Organization
BRIGHT SIDE DENTAL - INDIANAPOLIS KEYSTONE AVENUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GERSHONOWICZ DDS (OWNER)
(317) 731-6636
Entity
Organization
Contact information
Practice address
7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
(317) 731-6636
(317) 731-6569
Mailing address
7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
(317) 731-6636
(317) 731-6569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011992A
IN
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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