Organization
SANDERSWEDDELLPEDIATRIC DENTALSPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEDDELL D.D.S. (PARTNER)
(317) 575-2899
Entity
Organization
Contact information
Practice address
860 EAST 86TH STREET, SUITE1, INDIANAPOLIS, IN 46240-6859
(317) 575-2899
(317) 575-2898
Mailing address
860 EAST 86TH STREET, SUITE1, INDIANAPOLIS, IN 46240-6859
(317) 575-2899
(317) 575-2898
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
10/02/2008
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