Organization
DANVILLE DOWNTOWN DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT J BARTA DDS (OWNER)
(317) 679-8506
Entity
Organization
Contact information
Practice address
94 S TENNESSEE ST, DANVILLE, IN 46122-1836
(317) 745-1400
Mailing address
6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
(317) 247-9512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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