Organization
RED BIRD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MCCOOE DDS (PRESIDENT)
(949) 305-2253
Entity
Organization
Contact information
Practice address
839 S DELAWARE ST, INDIANAPOLIS, IN 46225-1782
(949) 305-2253
Mailing address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
(949) 305-2253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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