Individual
VIRGINIA W CROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1950 W 86TH ST, INDIANAPOLIS, IN 46260-2076
(317) 872-7272
(317) 872-7272
Mailing address
1950 WEST 86 STREET, INDIANAPOLIS, IN 46260
(317) 872-7272
(317) 872-7272
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
N6543
IN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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