Organization
EAST INDIANAPOLIS ORAL AND MAXILLOFACIAL SURGERY
Active
Other names
Steven C. Graham, DDS, Matthew C. Moll, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C MOLL DDS (OWNER)
(317) 353-1320
Entity
Organization
Contact information
Practice address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Mailing address
125 N SHORTRIDGE RD, INDIANAPOLIS, IN 46219-4908
(317) 353-1320
(317) 359-5243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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