| Star Clinic | |
|
5330 W Washington St Indianapolis IN 46241-2147 | |
| (317) 414-8822 | |
| Not Available |
| Full Name | Star Clinic |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5330 W Washington St, Indianapolis, Indiana |
| Authorized Official Name and Position | Esther Ghebremichael (OWNER) |
| Authorized Official Contact | 3174148822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Clinic 5330 W Washington St Indianapolis IN 46241-2147 Ph: (317) 414-8822 | Star Clinic 5330 W Washington St Indianapolis IN 46241-2147 Ph: (317) 414-8822 |
| NPI Number | 1790058741 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790058741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12011343A (Indiana) | Primary |
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