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1508448572
WTDG SPECIALIST GROUP LLC
INDIANAPOLIS, IN
NPI
1508448572
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Entity Type
Organization
Authorized Contact
BRENT J BARTA
Member
317-247-9512
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
WTDG SPECIALIST GROUP LLC
6443 W 10TH ST STE 204
INDIANAPOLIS, IN 46214-6502
Phone number: 317-247-9512
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Mailing Address
WTDG SPECIALIST GROUP LLC
6443 W 10TH ST STE 204
INDIANAPOLIS, IN 46214-6502
Phone number: 317-247-9512
Copy
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