Anderson Pediatric Dentistry

NPI 1104110923 - Dentist - 1223P0221X

NPI Details
NPI 1104110923
Enumeration Date 06/09/2011
Last Updated 09/25/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NASSIM FAYEZ NASSIM
Position OWNER/PEDIATRIC DENTIST
Phone (765) 642-3263
Fax
Practice Location
502 E 8TH ST
ANDERSON IN, 46012-4017, US
Phone (765) 642-3263
Fax
Business Location
502 E 8TH ST
ANDERSON IN, 46012-4017, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12010787A
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According to our database, Anderson Pediatric Dentistry NPI is 1104110923, taxonomy code is 1223P0221X and license number is 12010787A, license state is located at Indiana. Anderson Pediatric Dentistry physically located at 502 E 8th St, Anderson IN, 46012-4017. NPI Number 1033115704 has the healthcare provider type.

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1104110923 NPI number is provided on an as is basis without warranty of any kind. 1104110923 is maintained by the National Plan & Provider Enumeration System. The contents of Anderson Pediatric Dentistry are for informational purposes only.