Organization
ELWOOD FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LEFEVRE (VICE PRESIDENT)
(317) 756-7125
Entity
Organization
Contact information
Practice address
213 N 16TH ST, ELWOOD, IN 46036-1769
(765) 552-7803
(765) 552-5106
Mailing address
16426 CHALET CIR, WESTFIELD, IN 46074-8781
(317) 756-7125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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