Broad Ripple Family Dental, Llc

NPI 1073840393 - Dentist - 1223G0001X

NPI Details
NPI 1073840393
Enumeration Date 11/06/2009
Last Updated 11/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GINA GINA
Position DENTIST
Phone (317) 257-3368
Fax
Practice Location
6117 N COLLEGE AVE
INDIANAPOLIS IN, 46220-2233, US
Phone (317) 257-3368
Fax
Business Location
6117 N. COLLEGE
INDIANAPOLIS IN, 46220, US
Phone (317) 257-3368
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12007547A
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According to our database, Broad Ripple Family Dental, Llc NPI is 1073840393, taxonomy code is 1223G0001X and license number is 12007547A, license state is located at Indiana. Broad Ripple Family Dental, Llc physically located at 6117 N College Ave, Indianapolis IN, 46220-2233. NPI Number 1033115704 has the healthcare provider type.

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1073840393 NPI number is provided on an as is basis without warranty of any kind. 1073840393 is maintained by the National Plan & Provider Enumeration System. The contents of Broad Ripple Family Dental, Llc are for informational purposes only.