Bacsa Dental Pc Valid NPI
Organization · Preferred Provider Organization · Indianapolis, IN
- NPI
- 1912139841
- Type
- Organization (Type 2)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- License number
- 12010741A (IN)
- Enumerated
- 2009-08-11
- Last updated
- 2009-08-11
Practice location
4625 S Emerson Ave
Indianapolis, IN 46203-5972
(317) 784-5555