Organization
KEVIN J. WELCH DDS INC
Active
Other names
Tenth Street Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J WELCH DDS (OWNER)
(317) 358-8885
Entity
Organization
Contact information
Practice address
6919 E 10TH ST, A-1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Mailing address
6919 E 10TH ST, A-1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201033180
—
IN
Enumeration date
08/01/2012
Last updated
08/01/2012
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