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Organization

MID AMERICA PROFESSIONAL GROUP, PC

Active
Other names
School Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL CORUM DMD (OWNER)
(317) 886-6639
Entity
Organization

Contact information

Practice address
1499 WINDHORST WAY, STE 100, GREENWOOD, IN 46143-8800
(317) 886-6639
(888) 547-0377
Mailing address
1499 WINDHORST WAY, STE 100, GREENWOOD, IN 46143-8800
(317) 886-6639
(888) 547-0377

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/08/2006
Last updated
11/21/2022
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