Individual
DR. KYLE W SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6904 S EAST ST, SUITE F, INDIANAPOLIS, IN 46227-2693
(317) 788-4239
Mailing address
6904 S EAST ST, SUITE F, INDIANAPOLIS, IN 46227-2693
(317) 788-4239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011391A
IN
Other
Enumeration date
06/06/2008
Last updated
04/23/2012
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