# PARADISE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paradise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124503966
- **Authorized official:** HUONG T VU DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 643-7117

## Contact information

- **Practice address:** 4745 STATESMEN DR STE E, INDIANAPOLIS, IN 46250-5649
- **Practice address phone:** (317) 643-7117
- **Practice address fax:** (317) 643-7112
- **Mailing address:** 4745 STATESMEN DR STE E, INDIANAPOLIS, IN 46250-5649
- **Mailing address phone:** (317) 643-7117
- **Mailing address fax:** (317) 643-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/27/2018