Individual
DR. JOHN PURDUE WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 S RACEWAY RD, SUITE 140, INDIANAPOLIS, IN 46231-1414
(765) 479-8555
Mailing address
2250 N PENNSYLVANIA ST, #7, INDIANAPOLIS, IN 46205-4383
(765) 479-8555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011295A
IN
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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