Monrovia Dental Clinic, Llc | |
253 W Main St Monrovia IN 46157-9567 | |
(317) 996-3391 | |
Not Available |
Full Name | Monrovia Dental Clinic, Llc |
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Speciality | Clinic/center - Dental |
Location | 253 W Main St, Monrovia, Indiana |
Authorized Official Name and Position | Mark Sanford (MEMBER) |
Authorized Official Contact | 3179963391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Monrovia Dental Clinic, Llc 253 W Main St Monrovia IN 46157-9567 Ph: () - | Monrovia Dental Clinic, Llc 253 W Main St Monrovia IN 46157-9567 Ph: (317) 996-3391 |
NPI Number | 1134401144 |
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Provider Enumeration Date | 09/15/2011 |
Last Update Date | 09/15/2011 |
Identifier | Type | State | Issuer |
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1134401144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 12011298A (Indiana) | Primary |