Organization
PERIODONTAL SPECIALISTS OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURTON LARGURA DDS, MSD (DENTIST)
(317) 774-0716
Entity
Organization
Contact information
Practice address
9660 E 146TH ST, SUITE 500, NOBLESVILLE, IN 46060-3099
(317) 774-0716
(317) 774-0720
Mailing address
9660 E 146TH ST, SUITE 500, NOBLESVILLE, IN 46060-3099
(317) 774-0716
(317) 774-0720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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