Organization · Type 2 NPI
Detail Dental
Dental Clinic/Center · Indianapolis, IN
NPI number
1336792977
Active
Practice location
1030 Country Club Rd
Indianapolis, IN 46234-1813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1336792977
Detail Dental's National Provider Identifier is 1336792977, issued on Jul 23, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 20, 2019.