Organization
STEPHANIE LITZ DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LITZ (OWNER)
(317) 831-3370
Entity
Organization
Contact information
Practice address
124 N INDIANA ST, MOORESVILLE, IN 46158-1503
(317) 831-3370
(317) 831-3370
Mailing address
124 N INDIANA ST, MOORESVILLE, IN 46158-1503
(317) 831-3370
(317) 834-6704
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009130
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186730
—
IN
Enumeration date
06/24/2015
Last updated
06/24/2015
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