Organization
INDY DENTAL GROUP 93RD, INC.
Active
Other names
INDY DENTAL GROUP, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B LEWIS DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1806
(317) 846-6125
(317) 846-6282
Mailing address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1806
(317) 846-6125
(317) 846-6282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
10/12/2006
Last updated
01/01/2014
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