Organization
SMILE TIME KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE H EDWARDS DDS (DENTIST)
(317) 842-8453
Entity
Organization
Contact information
Practice address
1923 CHESTER BLVD, RICHMOND, IN 47374-1212
(317) 675-6055
Mailing address
1923 CHESTER BLVD, RICHMOND, IN 47374-1212
(317) 675-6055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010350A
IN
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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