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Organization
FELTZER 2020 DENTAL MANAGEMENT LLC
Active
Organization
FELTZER 2020 DENTAL MANAGEMENT LLC
Active
Parent organization
20-20 DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
20-20 DENTAL LLC
Authorized official
DR. RONALD PROKES DDS (CFO)
(317) 727-1534
Entity
Organization
Contact information
Practice address
965 HEATHROW LN, AVON, IN 46123-6787
(317) 727-1534
Mailing address
965 HEATHROW LN, AVON, IN 46123-6787
(317) 727-1534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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