Organization
11530 E WASHINGTON STREET DENTAL, LLC
Active
Other names
Indianapolis Emergency Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN STRATMAN II (PRACTICE ADMINISTRATOR)
(317) 360-0569
Entity
Organization
Contact information
Practice address
11530 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2828
(317) 360-0569
Mailing address
11530 E WASHINGTON ST, INDIANAPOLIS, IN 46229-2828
(317) 360-0569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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