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Organization

MARTIN T BARCO, D.D.S., P.C.

Active
Other names
Barco Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN THOMAS BARCO III DDS (OWNER/PRESIDENT)
(754) 346-1481
Entity
Organization

Contact information

Practice address
615 N WALNUT ST, BLOOMINGTON, IN 47404-3811
(812) 332-8290
Mailing address
615 N WALNUT ST, BLOOMINGTON, IN 47404-3811
(812) 332-8290

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011246A
IN

Other

Enumeration date
03/16/2018
Last updated
03/16/2018
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