Individual
DURELL DANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5660 EDEN VILLAGE DR, INDIANAPOLIS, IN 46254-1294
(317) 297-9750
Mailing address
1308 GROFF AVE, INDIANAPOLIS, IN 46222-3017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012833A
IN
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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