Organization
TRANSFORMATIVE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE LAWRENCE RATLIFF DDS (OWNER/DENTIST)
(812) 207-1090
Entity
Organization
Contact information
Practice address
7301 GEORGETOWN RD STE 113, INDIANAPOLIS, IN 46268-4157
(812) 207-1090
Mailing address
814 E RAYMOND ST, INDIANAPOLIS, IN 46203-3969
(812) 207-1090
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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