Barco Family Dentistry | |
615 N Walnut St Bloomington IN 47404-3811 | |
(812) 332-8290 | |
Not Available |
Full Name | Barco Family Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 615 N Walnut St, Bloomington, Indiana |
Authorized Official Name and Position | Martin Thomas Barco (OWNER/PRESIDENT) |
Authorized Official Contact | 7543461481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Barco Family Dentistry 615 N Walnut St Bloomington IN 47404-3811 Ph: (812) 332-8290 | Barco Family Dentistry 615 N Walnut St Bloomington IN 47404-3811 Ph: (812) 332-8290 |
NPI Number | 1780187674 |
---|---|
Provider Enumeration Date | 03/16/2018 |
Last Update Date | 03/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780187674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 12011246A (Indiana) | Primary |
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