Individual
KALEB DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5406 S EMERSON AVE, INDIANAPOLIS, IN 46237-1970
(317) 780-7777
Mailing address
5406 S EMERSON AVE, INDIANAPOLIS, IN 46237-1970
(317) 780-7777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013153A
IN
Other
Enumeration date
05/21/2019
Last updated
08/11/2021
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