Organization
INDY DENTAL GROUP WC, INC.
Active
Other names
JACK M. & ELIZABETH B. MILLER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELZABETH B LEWIS DDS (OWNER)
(317) 571-1900
Entity
Organization
Contact information
Practice address
12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
(317) 571-1900
(317) 569-9695
Mailing address
12720 MEETING HOUSE RD, CARMEL, IN 46032-7334
(317) 571-1900
(317) 569-9695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009479
IN
Other
Enumeration date
10/04/2006
Last updated
01/01/2014
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