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1346247376
MALEK FANSA
GREENWOOD, IN
NPI
1346247376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010260A)
Enumeration Date
2005-07-05
Last Update Date
2007-07-09
Business Address
Dr. MALEK FANSA D.D.S.
75 N STATE ROAD 135 SUITE C
GREENWOOD, IN 46142-1456
Phone number: 317-885-7006
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Mailing Address
Dr. MALEK FANSA D.D.S.
75 N STATE ROAD 135 SUITE C
GREENWOOD, IN 46142-1456
Phone number: 317-885-7006
Copy
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