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Organization

ROCKVILLE ROAD DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRIEDA COOKE DO (PRESIDENT)
(317) 227-0881
Entity
Organization

Contact information

Practice address
6355 ROCKVILLE ROAD, INDIANAPOLIS, IN 46214
(317) 227-0581
(317) 227-0820
Mailing address
6355 ROCKVILLE ROAD, INDIANAPOLIS, IN 46214
(317) 227-0581
(317) 227-0820

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009952
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200194500A
IN
Enumeration date
08/30/2006
Last updated
02/07/2017
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