Organization
CENTRAL INDIANA PERIODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GOMES DDS, MSD (OWNER)
(317) 299-4731
Entity
Organization
Contact information
Practice address
8235 COUNTRY VILLAGE DR, INDIANAPOLIS, IN 46214
(317) 299-4731
(317) 329-5054
Mailing address
8235 COUNTRY VILLAGE DR, INDIANAPOLIS, IN 46214
(317) 299-4731
(317) 329-5054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010704A
IN
Other
Enumeration date
06/16/2008
Last updated
05/01/2017
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