| Indiana Craniofacial Center Pc | |
|
3750 Guion Rd Suite 250 Indianapolis IN 46222-7602 | |
| (317) 283-1900 | |
| (317) 283-1901 |
| Full Name | Indiana Craniofacial Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 3750 Guion Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Arthur S Roberts (OWNER) |
| Authorized Official Contact | 3172831900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Craniofacial Center Pc 3750 Guion Rd Suite 250 Indianapolis IN 46222-7602 Ph: (317) 283-1900 | Indiana Craniofacial Center Pc 3750 Guion Rd Suite 250 Indianapolis IN 46222-7602 Ph: (317) 283-1900 |
| NPI Number | 1790936482 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790936482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010952A (Indiana) | Primary |
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