Organization
TENTH STREET FAMILY DENTAL LLC
Active
Other names
TENTH STREET FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(203) 215-4687
Entity
Organization
Contact information
Practice address
6919 E 10TH ST STE A1, INDIANAPOLIS, IN 46219-4811
(317) 358-8885
(317) 358-8886
Mailing address
6919 E 10TH ST STE A1, INDIANAPOLIS, IN 46219-4811
(317) 358-8885
(317) 358-8886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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