MALEK FANSA

GREENWOOD, IN
NPI1346247376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010260A)
Enumeration Date2005-07-05
Last Update Date2007-07-09
Business Address
Dr. MALEK FANSA D.D.S.
75 N STATE ROAD 135 SUITE C
GREENWOOD, IN 46142-1456
Phone number: 317-885-7006
Mailing Address
Dr. MALEK FANSA D.D.S.
75 N STATE ROAD 135 SUITE C
GREENWOOD, IN 46142-1456
Phone number: 317-885-7006