VLADIMIR KHANTSIS

INDIANAPOLIS, IN
NPI1639243470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010221)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
-- VLADIMIR KHANTSIS
4825 E 96TH ST 800
INDIANAPOLIS, IN 46240-3800
Phone number: 317-818-0800
Mailing Address
-- VLADIMIR KHANTSIS
1550 W 96TH ST
INDIANAPOLIS, IN 46260-4810
Phone number: 317-848-2047