Organization
KIDS DENTISTREE OF IN, LLC
Active
Other names
Kids Dentistree - Avon
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
7900 E US HIGHWAY 36 STE K, AVON, IN 46123-7791
(317) 561-0090
(317) 516-0345
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
09/06/2023
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