| Velez Dental Group, Llc | |
|
5055 E Us Highway 36 Ste 101 Avon IN 46123-6533 | |
| (317) 745-6355 | |
| (317) 745-7929 |
| Full Name | Velez Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5055 E Us Highway 36 Ste 101, Avon, Indiana |
| Authorized Official Name and Position | Juan Esteban Velez (OWNER) |
| Authorized Official Contact | 3177456355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Velez Dental Group, Llc 5055 E Us Highway 36 Ste 101 Avon IN 46123-6533 Ph: (317) 745-6355 | Velez Dental Group, Llc 5055 E Us Highway 36 Ste 101 Avon IN 46123-6533 Ph: (317) 745-6355 |
| NPI Number | 1417337569 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417337569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012316A (Indiana) | Primary |
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