Organization
KIDS & ADULT DENTAL INC
Active
Other names
KIDS & ADULT DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI MARIE BIBB (PRACTICE ADMINISTRATOR)
(317) 605-8367
Entity
Organization
Contact information
Practice address
1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813
(317) 991-4725
Mailing address
1030 COUNTRY CLUB RD, INDIANAPOLIS, IN 46234-1813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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