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Organization

CENTRAL INDIANA PERIODONTAL ASSOCIATES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL GOMES DDS, MSD (REGISTERED AGENT)
(317) 299-4731
Entity
Organization

Contact information

Practice address
2840 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-4724
(317) 299-4731
(317) 329-5054
Mailing address
2840 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-4724
(317) 299-4731
(317) 329-5054

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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