Organization
IMAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L EVANS DMD (OWNER/DOCTOR)
(317) 816-0841
Entity
Organization
Contact information
Practice address
11711 N PENNSYLVANIA ST, SUITE 114, CARMEL, IN 46032-6959
(317) 816-0841
(317) 816-0859
Mailing address
11711 N PENNSYLVANIA ST, SUITE 114, CARMEL, IN 46032-6959
(317) 816-0841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010149
IN
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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