Organization
GLENDALE DENTAL ASSOCIATES II, P.C.
Active
Other names
Glendale Dental Associates PC II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHO DDS (OWNER/DENTIST)
(317) 251-0085
Entity
Organization
Contact information
Practice address
6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
(317) 251-0085
(317) 259-9084
Mailing address
6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
(317) 251-0085
(317) 259-9084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12010540A
—
IN
Enumeration date
01/31/2008
Last updated
12/03/2018
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