Indiana Center For Surgical Arts | |
6117 N College Ave Suite 4 Indianapolis IN 46220-2233 | |
(317) 257-5442 | |
Not Available |
Full Name | Indiana Center For Surgical Arts |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6117 N College Ave, Indianapolis, Indiana |
Authorized Official Name and Position | David Michael Montes (SOLE PROPRIETOR) |
Authorized Official Contact | 3172575442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indiana Center For Surgical Arts 6117 N College Ave Suite 4 Indianapolis IN 46220-2233 Ph: (317) 257-5442 | Indiana Center For Surgical Arts 6117 N College Ave Suite 4 Indianapolis IN 46220-2233 Ph: (317) 257-5442 |
NPI Number | 1144676123 |
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Provider Enumeration Date | 05/10/2016 |
Last Update Date | 05/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144676123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Indiana) | Primary |
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