Organization
INDIANA DENTURE SPECIALIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS L EAKER (PRESIDENT)
(317) 782-3362
Entity
Organization
Contact information
Practice address
5510 S EAST ST STE C, INDIANAPOLIS, IN 46227-1939
(317) 782-3362
(317) 879-5385
Mailing address
5510 S EAST ST STE C, INDIANAPOLIS, IN 46227-1939
(317) 782-3362
(317) 879-5385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009983
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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