Organization
PEDIATRIC DENTISTRY WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK I THOMPSON D.D.S. (PEDIATRIC DENTIST)
(317) 271-6060
Entity
Organization
Contact information
Practice address
8930 W 10TH ST, INDIANAPOLIS, IN 46234-2132
(317) 271-6060
(317) 271-6065
Mailing address
8930 W 10TH ST, INDIANAPOLIS, IN 46234-2132
(317) 271-6060
(317) 271-6065
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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