institution
86th Street Complete Dental Llc
Dental Clinic/Center in Indianapolis, Indiana
NPI 1194247940

86th Street Complete Dental Llc is a Dental Clinic/Center based in Indianapolis, IN and is specialized in Dental. 86th Street Complete Dental Llc practices in Indianapolis, IN. The NPI Number for 86th Street Complete Dental Llc is 1194247940 and holds a License No. (Indiana).

The current practice location address for 86th Street Complete Dental Llc is 3810 W 86Th St, Indianapolis, IN and can be reached out via phone at 317-707-6453.

Location: 3810 W 86Th St, Indianapolis, IN, 46268-1905
institution
Provider Profile Details
NPI Number
1194247940
Provider Name
86th Street Complete Dental Llc
Credential
Provider Entity Type
Organization
Address
3810 W 86Th St, Indianapolis, IN, 46268-1905
Phone Number
317-707-6453
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300015766 05 IN
institution
Provider Business Practice Location Address Details
Address
3810 W 86Th St
City
State
Zip
46268
Phone Number
317-707-6453
Fax Number
person
Provider Business Mailing Address Details
Address
3810 W 86Th St
City
State
Zip
46268
Phone Number
317-707-6453
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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