# FELTZER 2020 DENTAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 20-20 DENTAL LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104238658
- **Legal business name:** 20-20 DENTAL LLC
- **Authorized official:** DR. RONALD PROKES DDS (CFO)
- **Authorized official phone:** (317) 727-1534

## Contact information

- **Practice address:** 965 HEATHROW LN, AVON, IN 46123-6787
- **Practice address phone:** (317) 727-1534
- **Mailing address:** 965 HEATHROW LN, AVON, IN 46123-6787
- **Mailing address phone:** (317) 727-1534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014