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Organization

PARKVIEW DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL ROSS (OFFICE MANAGER)
(317) 535-7522
Entity
Organization

Contact information

Practice address
549 PARKVIEW DR., NEW WHITELAND, IN 46184
(317) 535-7522
(317) 535-5115
Mailing address
549 PARKVIEW DR, NEW WHITELAND, IN 46184-1365
(317) 535-7522
(317) 535-5115

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011888A
IN

Other

Enumeration date
11/22/2016
Last updated
11/22/2016
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