Individual
DR. CLAUDE CLINTON NEWSOM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3225 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-4672
(317) 925-9218
(317) 925-9236
Mailing address
3225 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-4672
(317) 925-9218
(317) 925-9236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006166
IN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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