LAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC

INDIANAPOLIS, IN
NPI1194213207
Entity TypeOrganization
Authorized ContactSRINIVASULU KAKOLLU
President
732-379-0953
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
LAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC
3443 W 86TH ST STE C
INDIANAPOLIS, IN 46268-1991
Phone number: 732-379-0953
Mailing Address
LAKEWOOD FAMILY DENTAL OF INDIANAPOLIS LLC
8777 PURDUE RD STE 115
INDIANAPOLIS, IN 46268-3104
Phone number:
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