| Brookside Dental Care, Llc | |
|
2536 E 10th St Indianapolis IN 46201-2155 | |
| (317) 731-2677 | |
| Not Available |
| Full Name | Brookside Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2536 E 10th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Deept Rana (MEMBER) |
| Authorized Official Contact | 7343697375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Dental Care, Llc 583 Windborough Brownsburg IN 46112-9341 Ph: (734) 369-7375 | Brookside Dental Care, Llc 2536 E 10th St Indianapolis IN 46201-2155 Ph: (317) 731-2677 |
| NPI Number | 1700264454 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700264454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012266A (Indiana) | Primary |
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