Caringsmiles4u

NPI 1104217058 - Dentist - 122300000X

NPI Details
NPI 1104217058
Enumeration Date 02/13/2015
Last Updated 02/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JUANITA JUANITA
Position OWNER
Phone (317) 968-9700
Fax
Practice Location
4615 LAFAYETTE RD
SUITE B
INDIANAPOLIS IN, 46254-2035, US
Phone (317) 968-9700
Fax
Business Location
4615 LAFAYETTE RD
SUITE B
INDIANAPOLIS IN, 46254-2035, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12012239A
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According to our database, Caringsmiles4u NPI is 1104217058, taxonomy code is 122300000X and license number is 12012239A, license state is located at Indiana. Caringsmiles4u physically located at 4615 Lafayette Rd, Indianapolis IN, 46254-2035. NPI Number 1033115704 has the healthcare provider type.

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1104217058 NPI number is provided on an as is basis without warranty of any kind. 1104217058 is maintained by the National Plan & Provider Enumeration System. The contents of Caringsmiles4u are for informational purposes only.