# WEST 38TH DENTAL, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245649052
- **Authorized official:** DR. SUNG H KONG DDS (OWNER)
- **Authorized official phone:** (317) 297-4502

## Contact information

- **Practice address:** 3808 N LAWNDALE AVE, INDIANAPOLIS, IN 46254-2814
- **Practice address phone:** (317) 297-4502
- **Practice address fax:** (317) 297-4554
- **Mailing address:** 3808 N LAWNDALE AVE, INDIANAPOLIS, IN 46254-2814
- **Mailing address phone:** (317) 297-4502
- **Mailing address fax:** (317) 297-4554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010747A | IN | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 08/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200533220A | — | IN |