Organization
DENTAL CARE ACTION INC
Active
Other names
Dental Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T PATRICK (PRESIDENT BOARD OF DIRECTORS)
(812) 339-5015
Entity
Organization
Contact information
Practice address
1602 W THIRD STREET, BLOOMINGTON, IN 47404
(812) 339-7700
(812) 339-7794
Mailing address
1602 W THIRD STREET, BLOOMINGTON, IN 47404
(812) 339-7700
(812) 339-7794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10850A
IN
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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