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Organization
RUSSEL MULAMBA DDS LLC
Active
Organization
RUSSEL MULAMBA DDS LLC
Active
Other names
pike plaza dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL MULAMBA D.D.S. (PRESIDENT)
(317) 293-1595
Entity
Organization
Contact information
Practice address
5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3003
(317) 293-1595
Mailing address
5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3003
(317) 293-1595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010225
IN
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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