Organization
DRS. KILGORE AND TAUBE D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E TAUBE D.D.S. (SECRETARY OF CORP.)
(317) 632-6258
Entity
Organization
Contact information
Practice address
320 N MERIDIAN ST, SUITE 808, INDIANAPOLIS, IN 46204-1719
(317) 632-6258
Mailing address
320 N MERIDIAN ST, SUITE 808, INDIANAPOLIS, IN 46204-1719
(317) 632-6258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54000394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54000394A
DENTAL CORPORATION REGIST
IN
Enumeration date
03/13/2007
Last updated
08/22/2020
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