# BRIDGEWATER DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881066959
- **Authorized official:** VINCENT MENDOZA (OFFICE MANAGER)
- **Authorized official phone:** (317) 581-1280

## Contact information

- **Practice address:** 4728 LIMERICK DR STE A, CARMEL, IN 46033-3402
- **Practice address phone:** (317) 581-1280
- **Mailing address:** 4728 LIMERICK DR STE A, CARMEL, IN 46033-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12010273A | IN | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015