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Organization

TY CAMPBELL DDS, LLC

Active
Parent organization
TY CAMPBELL DDS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TY CAMPBELL DDS, LLC
Authorized official
ANDREA STROTHER (OFFICE MANAGER)
(317) 255-0307
Entity
Organization

Contact information

Practice address
931 E 86TH ST, SUITE 207, INDIANAPOLIS, IN 46240-1860
(317) 255-0307
Mailing address
931 E 86TH ST, SUITE 207, INDIANAPOLIS, IN 46240-1860
(317) 255-0307

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008966
IN

Other

Enumeration date
01/05/2011
Last updated
01/05/2011
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