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Organization

TENTH ST DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT ALLEN EGELSKE DDS (PRESIDENT)
(317) 358-8885
Entity
Organization

Contact information

Practice address
6919 E 10TH ST, SUITE A1, INDIANAPOLIS, IN 46219-4893
(317) 358-8885
(317) 358-8886
Mailing address
6919 E 10TH ST, SUITE A1, INDIANAPOLIS, IN 46219
(317) 358-8885
(317) 358-8886

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009348A
IN

Other

Enumeration date
08/30/2006
Last updated
11/14/2007
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