Organization
INDIANAPOLIS DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLIE M SCHAUB DDS (OWNER)
(317) 884-8633
Entity
Organization
Contact information
Practice address
8445 S EMERSON AVE, SUITE 101, INDIANAPOLIS, IN 46237-9596
(317) 884-8633
(317) 884-8633
Mailing address
8445 S EMERSON AVE, SUITE 101, INDIANAPOLIS, IN 46237-9596
(317) 884-8633
(317) 884-8633
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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