Organization
ADVANCED FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TALER (OWNER)
(317) 849-1223
Entity
Organization
Contact information
Practice address
9845 E 116TH ST STE 400, FISHERS, IN 46037-9236
(317) 849-1223
Mailing address
9845 E 116TH ST STE 400, FISHERS, IN 46037-9236
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12011831A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
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Other
Enumeration date
05/23/2017
Last updated
05/24/2017
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