Overview
Name: MY INDY DENTAL CENTER LLC
Specialty: Dental Clinic/Center
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Dental.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MY INDY DENTAL CENTER LLC,3804 N DELAWARE ST,INDIANAPOLIS,IN,462052648,US
Mailing Address: MY INDY DENTAL CENTER LLC,6443 W 10TH ST STE 204,INDIANAPOLIS,IN,462146502,US
Contact #
Practice location phone #: 3179254202
Practice location fax #:
Mailing address Phone #: 3172479512
Mailing Address fax #:
Authorized official Name/Telephone #:DR., BRENT, J, BARTA, DDS, MEMBER 3172479512
Misc
Date NPI was obtained: 09/11/2021
Last data data was updated: 09/11/2021
Insurances: