Organization
PLAINFIELD PARK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESA ALLISON DDS, MSD (OWNER)
(317) 900-1665
Entity
Organization
Contact information
Practice address
6100 CLARKS CREEK RD STE 102, PLAINFIELD, IN 46168-8767
(317) 900-1665
Mailing address
6100 CLARKS CREEK RD STE 102, PLAINFIELD, IN 46168-8767
(317) 900-1665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/21/2024
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