Organization
MOBILE SMILES P.A. LLC
Active
Other names
Smiles Express
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KEITH (OFFICE MANAGER)
(317) 759-1020
Entity
Organization
Contact information
Practice address
5868 E. 71ST ST, INDIANAPOLIS, IN 46220-4002
(317) 759-1020
Mailing address
5868 E 71ST ST, INDIANAPOLIS, IN 46220-4075
(317) 759-1020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009992
IN
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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