Organization
WESTSIDE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A TRAGER DDS (OWNER)
(317) 241-9876
Entity
Organization
Contact information
Practice address
4318 W WASHINGTON ST, INDIANAPOLIS, IN 46241-0822
(317) 241-9876
(317) 247-4877
Mailing address
4318 W WASHINGTON ST, INDIANAPOLIS, IN 46241-0822
(317) 241-9876
(317) 247-4877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010793A
IN
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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