Organization
JP DENTAL - KEYSTONE LLC
Active
Other names
Northview Dental on Keystone
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PASICZNYK DDS (MANAGER)
(317) 731-6636
Entity
Organization
Contact information
Practice address
7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
(317) 731-6636
Mailing address
7102 N KEYSTONE AVE, INDIANAPOLIS, IN 46240-3242
(317) 731-6636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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