Organization
KEYSTONE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ALBEA (OPERATIONS MANAGER)
(765) 278-9038
Entity
Organization
Contact information
Practice address
2828 E 96TH ST, INDIANAPOLIS, IN 46240-3715
(317) 575-1120
Mailing address
2828 E 96TH ST, INDIANAPOLIS, IN 46240-3715
(317) 575-1120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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