| Westside Family Dental | |
|
4318 W Washington St Indianapolis IN 46241-0822 | |
| (317) 241-9876 | |
| (317) 247-4877 |
| Full Name | Westside Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 4318 W Washington St, Indianapolis, Indiana |
| Authorized Official Name and Position | Stephen A Trager (OWNER) |
| Authorized Official Contact | 3172419876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Dental 4318 W Washington St Indianapolis IN 46241-0822 Ph: (317) 241-9876 | Westside Family Dental 4318 W Washington St Indianapolis IN 46241-0822 Ph: (317) 241-9876 |
| NPI Number | 1720414311 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720414311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010793A (Indiana) | Primary |
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