Organization
BETWEEN THE CHEEKS, PC
Active
Other names
Smile Design Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WESLEY MILLER R.PH. (CHIEF OPERATING OFFICER)
(317) 293-4611
Entity
Organization
Contact information
Practice address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Mailing address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
(317) 297-7504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010288A
IN
183500000X
Pharmacist
26019790A
IN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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