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Organization
MEC DENTAL MANAGEMENT LLC
Active
Organization
MEC DENTAL MANAGEMENT LLC
Active
Other names
Keystone Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EDWARD CHURCH DDS (OWNER/DENTIST)
(317) 252-5480
Entity
Organization
Contact information
Practice address
5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
(317) 252-5480
(317) 252-5482
Mailing address
5426 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-3456
(317) 252-5480
(317) 252-5482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010045
IN
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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