| NPI | 1811243454 |
|---|---|
| Doing Business As | TENTH STREET DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KEVIN J WELCH Owner 317-358-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011453A) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |