West 10th Dental Group, Professional Corporation

NPI 1578757191 - Dentist - 1223P0221X

NPI Details
NPI 1578757191
Enumeration Date 08/28/2007
Last Updated 08/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRENT J. BRENT
Position PRESIDENT/OWNER
Phone (317) 247-9512
Fax
Practice Location
6443 W 10TH ST
SUITE 204
INDIANAPOLIS IN, 46214-6501, US
Phone (317) 247-9512
Fax
Business Location
6443 W 10TH ST
SUITE 204
INDIANAPOLIS IN, 46214-6501, US
Phone (317) 247-9512
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12010589A
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According to our database, West 10th Dental Group, Professional Corporation NPI is 1578757191, taxonomy code is 1223P0221X and license number is 12010589A, license state is located at Indiana. West 10th Dental Group, Professional Corporation physically located at 6443 W 10th St, Indianapolis IN, 46214-6501. NPI Number 1033115704 has the healthcare provider type.

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1578757191 NPI number is provided on an as is basis without warranty of any kind. 1578757191 is maintained by the National Plan & Provider Enumeration System. The contents of West 10th Dental Group, Professional Corporation are for informational purposes only.