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Individual

MATTHEW JAMES YENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
96316
IN

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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