Individual
DR. MITCHELL KURT DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11135 PENDLETON PIKE STE 900, INDIANAPOLIS, IN 46236-2872
(317) 826-3441
Mailing address
350 MONON BLVD APT 515, CARMEL, IN 46032-2386
(574) 361-5940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013815A
IN
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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