Organization
VELEZ DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ESTEBAN VELEZ D.D.S. (OWNER)
(317) 745-6355
Entity
Organization
Contact information
Practice address
5055 E US HIGHWAY 36 STE 101, AVON, IN 46123-6533
(317) 745-6355
(317) 745-7929
Mailing address
5055 E US HIGHWAY 36 STE 101, AVON, IN 46123-6533
(317) 745-6355
(317) 745-7929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012316A
IN
Other
Enumeration date
06/04/2015
Last updated
07/16/2015
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