Organization
MOORESVILLE DENTAL ACQUISITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ABNER (OFFICE MANAGER)
(317) 831-4240
Entity
Organization
Contact information
Practice address
150 N INDIANA ST, MOORESVILLE, IN 46158-1506
(317) 831-4240
(317) 831-4473
Mailing address
150 N INDIANA ST, MOORESVILLE, IN 46158-1506
(317) 831-4240
(317) 831-4473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IN
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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