Individual
LAWRENCE N. FORTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6904 S. EAST ST., SUITE F, INDIANAPOLIS, IN 46227-2693
(317) 788-4239
(317) 780-0903
Mailing address
6904 S. EAST ST., SUITE F, INDIANAPOLIS, IN 46227-2693
(317) 788-4239
(317) 780-0903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7857
IN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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