| West 10th Dental Group, Professional Corporation | |
|
6443 W 10th St Suite 204 Indianapolis IN 46214-6501 | |
| (317) 247-9512 | |
| Not Available |
| Full Name | West 10th Dental Group, Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6443 W 10th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Brent J. Barta (PRESIDENT/OWNER) |
| Authorized Official Contact | 3172479512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West 10th Dental Group, Professional Corporation 6443 W 10th St Suite 204 Indianapolis IN 46214-6501 Ph: (317) 247-9512 | West 10th Dental Group, Professional Corporation 6443 W 10th St Suite 204 Indianapolis IN 46214-6501 Ph: (317) 247-9512 |
| NPI Number | 1578757191 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578757191 | NPI | - | NPPES |
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