Organization
GREENWOOD SPRINGS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HUBBARD (DISTRICT MANAGER)
(317) 644-1105
Entity
Organization
Contact information
Practice address
1273 N EMERSON AVE, GREENWOOD, IN 46143-6672
(317) 644-1105
Mailing address
1273 N EMERSON AVE, GREENWOOD, IN 46143-6672
(317) 644-1105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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