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473 S Landmark Ave Bloomington IN 47403-5005 | |
| (812) 318-1023 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 473 S Landmark Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Austin C. Starr (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8123181023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
473 S Landmark Ave Bloomington IN 47403-5005 Ph: (812) 318-1023 | 473 S Landmark Ave Bloomington IN 47403-5005 Ph: (812) 318-1023 |
| NPI Number | 1356978753 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356978753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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