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Organization
XU FAMILY DENTAL, LLC
Active
Organization
XU FAMILY DENTAL, LLC
Active
Other names
Xu Sleep Clinic, Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAIFENG XU DDS, PHD (DENTIST/OWNER)
(317) 602-4898
Entity
Organization
Contact information
Practice address
828 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
(317) 602-4898
(317) 559-7159
Mailing address
14536 STONEGATE CT, CARMEL, IN 46032-9132
(317) 602-4898
(317) 559-7159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201283020
—
IN
Enumeration date
05/24/2018
Last updated
08/31/2022
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