Organization
MEC DENTAL I, P.C.
Active
Other names
Shelbyville Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD CHURCH D.M.D. (OWNER/PRESIDENT)
(317) 336-6723
Entity
Organization
Contact information
Practice address
114 LEE BLVD, SUITE E, SHELBYVILLE, IN 46176-3403
(317) 398-6399
Mailing address
114 LEE BLVD, SUITE E, SHELBYVILLE, IN 46176-3403
(317) 398-6399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010045A
IN
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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