Organization
KB DENTAL 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY R COAD (OFFICE MANAGER)
(317) 570-5480
Entity
Organization
Contact information
Practice address
13590B N MERIDIAN ST, CARMEL, IN 46032-1406
(317) 570-5480
(317) 570-5481
Mailing address
7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2708
(317) 570-5480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IN
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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