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Organization
MFDC OF INDIANA, INC
Active
Organization
MFDC OF INDIANA, INC
Active
Other names
West 10th Dental Group GP
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARDUE (DIRECTOR OF REVENUE CYCLE)
(502) 548-2402
Entity
Organization
Contact information
Practice address
6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
(317) 754-8486
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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