Organization
DENTAL OASIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLI ANN LARRABEE-DEWELL D.D.S. (PRESIDENT/DENTIST)
(317) 402-8521
Entity
Organization
Contact information
Practice address
5957 W BROADWAY, MC CORDSVILLE, IN 46055-9355
(317) 402-8521
Mailing address
5957 W BROADWAY, MC CORDSVILLE, IN 46055-9355
(317) 402-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010860A
IN
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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