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Organization
KEVIN J. WELCH DDS INC
Active
Organization
KEVIN J. WELCH DDS INC
Active
Other names
Tenth Street Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J WELCH DDS (OWNER)
(317) 358-8885
Entity
Organization
Contact information
Practice address
6919 E 10TH ST, A-1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Mailing address
6919 E 10TH ST, A-1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033180
—
IN
Enumeration date
08/01/2012
Last updated
08/01/2012
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