BACSA DENTAL PC

INDIANAPOLIS, IN
NPI1912139841
Doing Business AsEMERSON AVENUE DETNAL
Entity TypeOrganization
Authorized ContactTIMOTHY BACSA
President
317-258-0309
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IN  12010741a)
Enumeration Date2009-08-11
Last Update Date2009-08-11
Business Address
BACSA DENTAL PC
4625 S EMERSON AVE
INDIANAPOLIS, IN 46203-5972
Phone number: 317-784-5555
Mailing Address
BACSA DENTAL PC
8805 KNOTTY PINE CT
INDIANAPOLIS, IN 46227-9764
Phone number: