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Organization

ELSNER FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM JEREMY ELSNER DDS (SOLE MEMBER)
(317) 896-1986
Entity
Organization

Contact information

Practice address
16411 SOUTHPARK DR, SUITE A, WESTFIELD, IN 46074-8468
(317) 896-1986
(317) 896-1886
Mailing address
16411 SOUTHPARK DR, SUITE A, WESTFIELD, IN 46074-8468
(317) 896-1986
(317) 896-1886

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011951A
IN

Other

Enumeration date
01/13/2017
Last updated
01/13/2017
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