Organization
PULOS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA K PULOS (MEMBER)
(317) 485-5850
Entity
Organization
Contact information
Practice address
1002 N MITTHOEFFER RD STE B, INDIANAPOLIS, IN 46229-2461
(317) 898-6666
(317) 898-4965
Mailing address
10715 GEIST RIDGE CT, FISHERS, IN 46040-9479
(317) 485-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008816
IN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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