Organization
KRM DENTAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE REBECCA MCNUTT D.M.D (OWNER)
(317) 547-1900
Entity
Organization
Contact information
Practice address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(866) 273-8204
(866) 803-4943
Mailing address
9940 PENDLETON PIKE, SUITE B, INDIANAPOLIS, IN 46236-2823
(317) 541-1900
(317) 897-8345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11540
IN
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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