Organization
WHITE RIVER ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN HAMER DDS (MEMBER)
(317) 674-3919
Entity
Organization
Contact information
Practice address
9779 E 146TH ST STE 110, NOBLESVILLE, IN 46060-4327
(317) 674-3919
(317) 674-3911
Mailing address
9779 E 146TH ST STE 110, NOBLESVILLE, IN 46060-4327
(317) 674-3919
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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