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Organization

FALL CREEK FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBECCA L FOSS DDS (DENTIST)
(317) 670-5893
Entity
Organization

Contact information

Practice address
9751 FALL CREEK RD, INDIANAPOLIS, IN 46256-4713
(317) 842-1090
(317) 842-3472
Mailing address
9751 FALL CREEK RD, INDIANAPOLIS, IN 46256-4713
(317) 842-1090
(317) 842-3472

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011323A
IN

Other

Enumeration date
02/09/2011
Last updated
02/09/2011
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