Organization
PROMISE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL D SVILENOV DMD (MEMBER)
(317) 537-7280
Entity
Organization
Contact information
Practice address
12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7712
(317) 537-7280
Mailing address
12574 PROMISE CREEK LN, SUITE 110, FISHERS, IN 46038-7712
(317) 537-7280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010897A
IN
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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