Organization
NORTHVIEW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M PASICZNYK D.D.S. (OWNER)
(317) 818-7777
Entity
Organization
Contact information
Practice address
210 E 91ST ST STE A, INDIANAPOLIS, IN 46240-1570
(317) 818-7777
Mailing address
210 E 91ST ST STE A, INDIANAPOLIS, IN 46240-1570
(317) 818-7777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011425A
IN
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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