Individual
DR. MATTHEW CHARLES MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Mailing address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010101A
IN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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