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Organization
NOBLESVILLE SMILE CENTER, LLC
Active
Organization
NOBLESVILLE SMILE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMIN DHANJAL DDS (DENTIST / OWNER)
(716) 417-8254
Entity
Organization
Contact information
Practice address
17147 MERCANTILE BLVD, NOBLESVILLE, IN 46060-3942
(317) 558-9500
(317) 558-9501
Mailing address
17147 MERCANTILE BLVD, NOBLESVILLE, IN 46060-3942
(317) 558-9500
(317) 558-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164911855
NPI TYPE 1
IN
01
—
12013135A
IN DENTAL LICENSE
IN
05
—
300030245
—
IN
Enumeration date
07/12/2021
Last updated
12/21/2021
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