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Organization
WICZ LLC
Active
Organization
WICZ LLC
Active
Other names
Brodowicz Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BRODOWICZ DDS (DENTIST)
(704) 779-0350
Entity
Organization
Contact information
Practice address
931 E 86TH SREET, ST 207, INDIANAPOLIS, IN 46240
(704) 779-0356
Mailing address
4245 SUNSET AVE, INDIANAPOLIS, IN 46208-3765
(704) 779-0350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/07/2022
Last updated
09/22/2026
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