Organization
GREENWOOD DENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FRAIZ (MEMBER)
(317) 379-4831
Entity
Organization
Contact information
Practice address
6249 S EAST ST, SUITE J, INDIANAPOLIS, IN 46227-2091
(317) 789-1000
Mailing address
8402 HARCOURT RD, SUITE 625, INDIANAPOLIS, IN 46260-2074
(317) 872-3465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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