Individual
DR. GREGG STEVEN SVOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7130 E CO RD 150 SOUTH, AVON, IN 46123-8190
(317) 837-8900
(317) 837-8908
Mailing address
7130 E CO RD 150 SOUTH, AVON, IN 46123-8190
(317) 837-8900
(317) 837-8908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009587
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861062947
TAX ID #
IN
Enumeration date
04/17/2007
Last updated
07/08/2007
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