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1114502283
WTDG SPECIALTY GROUP LLC
INDIANAPOLIS, IN
NPI
1114502283
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Entity Type
Organization
Authorized Contact
BRENT J BARTA
Member
317-679-8506
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
WTDG SPECIALTY GROUP LLC
6443 W 10TH ST STE 204
INDIANAPOLIS, IN 46214-6502
Phone number: 317-247-9512
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Mailing Address
WTDG SPECIALTY GROUP LLC
6443 W 10TH ST STE 204
INDIANAPOLIS, IN 46214-6502
Phone number: 317-247-9512
Copy
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