| Feltzer 2020 Dental Management Llc | |
|
965 Heathrow Ln Avon IN 46123-6787 | |
| (317) 727-1534 | |
| Not Available |
| Full Name | Feltzer 2020 Dental Management Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 965 Heathrow Ln, Avon, Indiana |
| Authorized Official Name and Position | Ronald Prokes (CFO) |
| Authorized Official Contact | 3177271534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Feltzer 2020 Dental Management Llc 965 Heathrow Ln Avon IN 46123-6787 Ph: (317) 727-1534 | Feltzer 2020 Dental Management Llc 965 Heathrow Ln Avon IN 46123-6787 Ph: (317) 727-1534 |
| NPI Number | 1104238658 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104238658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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