Organization
INDIANAPOLIS CENTER FOR IMPLANT AND COSMETIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED REESE DDS (PRESIDENT)
(317) 882-0228
Entity
Organization
Contact information
Practice address
7218 US 31 S, INDIANAPOLIS, IN 46227-8539
(317) 882-0228
Mailing address
7218 US 31 S, INDIANAPOLIS, IN 46227-8539
(317) 882-0228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008609A
IN
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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