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Organization
ACCESS DENTAL ASSOCIATES, LLC
Active
Organization
ACCESS DENTAL ASSOCIATES, LLC
Active
Other names
Access Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNEL JAMES GALLANOSA DDS (PRESIDENT)
(317) 506-2997
Entity
Organization
Contact information
Practice address
3750 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-4375
(317) 283-2255
Mailing address
3750 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-4375
(317) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200353150A
—
IN
Enumeration date
12/14/2012
Last updated
12/14/2012
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