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Organization

DAVIES DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA DAVIES DDS (OWNER)
(317) 288-5388
Entity
Organization

Contact information

Practice address
9850 E 79TH ST, INDIANAPOLIS, IN 46256-4822
(317) 288-5388
(317) 288-5412
Mailing address
9850 E 79TH ST, INDIANAPOLIS, IN 46256-4822
(317) 288-5388
(317) 288-5412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012035A
IN

Other

Enumeration date
04/20/2017
Last updated
05/11/2017
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