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1265101315
MY INDY DENTAL CENTER LLC
INDIANAPOLIS, IN
NPI
1265101315
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Entity Type
Organization
Authorized Contact
BRENT J BARTA
Member
317-247-9512
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-09-11
Last Update Date
2021-09-11
Business Address
MY INDY DENTAL CENTER LLC
3804 N DELAWARE ST
INDIANAPOLIS, IN 46205-2648
Phone number: 317-925-4202
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Mailing Address
MY INDY DENTAL CENTER LLC
6443 W 10TH ST STE 204
INDIANAPOLIS, IN 46214-6502
Phone number: 317-247-9512
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