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Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Fishers, IN

NPI
1871085167
Type
Organization (Type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
12011584A (IN)
Enumerated
2018-06-01
Last updated
2018-06-01
Practice location
9126 Technology Ln
Fishers, IN 46038-3064
(317) 797-6688

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