Organization
MIDWEST PROSTHODONTICS LLC
Active
Other names
Indiana Restorative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER THOMAS DMD (OWNER)
(317) 844-4155
Entity
Organization
Contact information
Practice address
370 MEDICAL DR STE B, CARMEL, IN 46032-2971
(317) 844-4155
(317) 844-6650
Mailing address
370 MEDICAL DR STE B, CARMEL, IN 46032-2971
(317) 844-4155
(317) 844-6650
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12012667A
IN
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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