Organization
QUALITY CORRECTIONAL DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA SORRELL (DIRECTOR)
(765) 749-5290
Entity
Organization
Contact information
Practice address
12900 N MERIDIAN ST STE 140, CARMEL, IN 46032-5401
(765) 749-5290
Mailing address
401 W AIR PARK DR, MUNCIE, IN 47303
(765) 749-5290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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