| Sara P. Viernes Dds Pc | |
|
6820 Parkdale Place Suite 117 Indianapolis IN 46254-4699 | |
| (317) 329-7373 | |
| (317) 329-7380 |
| Full Name | Sara P. Viernes Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 6820 Parkdale Place, Indianapolis, Indiana |
| Authorized Official Name and Position | Sara P Viernes (OWNER) |
| Authorized Official Contact | 3173297373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara P. Viernes Dds Pc 6820 Parkdale Place Suite 117 Indianapolis IN 46254-4699 Ph: (317) 329-7373 | Sara P. Viernes Dds Pc 6820 Parkdale Place Suite 117 Indianapolis IN 46254-4699 Ph: (317) 329-7373 |
| NPI Number | 1356509731 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356509731 | NPI | - | NPPES |
| 1174715510 | Other | IN | INDIVIDUAL NPI |
| 1619925955 | Other | IN | INDIVIDUAL NPI |
| 200381910 | Medicaid | IN | |
| 200869240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011023A (Indiana) | Primary |
| 1223G0001X | Dentist - General Practice | 12010470A (Indiana) | Secondary |
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