Organization
MOORESVILLE PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CLARK DDS (OWNER)
(317) 273-2372
Entity
Organization
Contact information
Practice address
100 TOWN CENTER DR S STE A, MOORESVILLE, IN 46158-2322
(317) 831-5439
Mailing address
7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214-3130
(317) 273-2372
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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