Organization
MAGNUS DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARIE LAMONT RDH (DIRECTOR OF OPERATIONS)
(317) 450-4899
Entity
Organization
Contact information
Practice address
7440 N SHADELAND AVE STE 212, INDIANAPOLIS, IN 46250-2027
(317) 849-9961
Mailing address
11934 E 79TH ST, INDIANAPOLIS, IN 46236-0110
(317) 450-4899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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