Organization
DETAIL DENTAL
Active
Other names
Detail Dental, Detail Dental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS CHRISLER DDS (OWNER)
(617) 617-9644
Entity
Organization
Contact information
Practice address
1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813
(617) 271-1486
Mailing address
1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
11/20/2019
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