Individual
MILTON REVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 W WASHINGTON ST, INDIANAPOLIS, IN 46222-4299
(317) 636-2002
Mailing address
7128 WINDSOR LAKES PL, INDIANAPOLIS, IN 46237-8312
(407) 346-9383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013248A
IN
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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