Organization
PEBBLE BROOK DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHISTOPHER SPOHR DDS (PRESIDENT)
(317) 896-1515
Entity
Organization
Contact information
Practice address
5713 PEBBLE VILLAGE LN, NOBLESVILLE, IN 46062-7373
(317) 896-1515
Mailing address
5713 PEBBLE VILLAGE LN, NOBLESVILLE, IN 46062-7373
(317) 896-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010838A
IN
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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