| Central Indiana Periodontal Associates,llc | |
|
2840 N High School Rd Indianapolis IN 46224-4724 | |
| (317) 299-4731 | |
| (317) 329-5054 |
| Full Name | Central Indiana Periodontal Associates,llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2840 N High School Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Daniel Gomes (REGISTERED AGENT) |
| Authorized Official Contact | 3172994731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Indiana Periodontal Associates,llc 2840 N High School Rd Indianapolis IN 46224-4724 Ph: (317) 299-4731 | Central Indiana Periodontal Associates,llc 2840 N High School Rd Indianapolis IN 46224-4724 Ph: (317) 299-4731 |
| NPI Number | 1437333150 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437333150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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