Organization
BRIDGEWATER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MENDOZA (OFFICE MANAGER)
(317) 581-1280
Entity
Organization
Contact information
Practice address
4728 LIMERICK DR STE A, CARMEL, IN 46033-3402
(317) 581-1280
Mailing address
4728 LIMERICK DR STE A, CARMEL, IN 46033-3402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010273A
IN
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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