Organization
REBECCA P. BOLON DDS MSD PC
Active
Other names
Rebecca P. Bolon DDS MSD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PADRICK (OFFICE MANAGER)
(317) 374-3829
Entity
Organization
Contact information
Practice address
9311 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1865
(317) 846-6107
Mailing address
9311 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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