LAKEWOOD FAMILY DENTAL OF CARMEL LLC

CARMEL, IN
NPI1588168876
Entity TypeOrganization
Authorized ContactSRINIVASULU KAKOLLU
Dentist
732-379-0953
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
LAKEWOOD FAMILY DENTAL OF CARMEL LLC
2330 E 116TH ST
CARMEL, IN 46032-3217
Phone number: 317-456-7869
Mailing Address
LAKEWOOD FAMILY DENTAL OF CARMEL LLC
8777 PURDUE RD STE 115
INDIANAPOLIS, IN 46268-3104
Phone number: