Organization
DENTAL HEALTH ASSOC OF IN, PC
Active
Other names
Edgewood Gentle Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PURVIS (AR MANAGER)
(317) 359-3888
Entity
Organization
Contact information
Practice address
5935 S EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-1974
(317) 359-3888
Mailing address
5935 S EMERSON AVE, SUITE 200, INDIANAPOLIS, IN 46237-1974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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