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Organization
RLI DENTAL, LLC
Active
Organization
RLI DENTAL, LLC
Active
Other names
Simply Smile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL ANNE NEMSER LDH (BUSINESS MANAGER)
(317) 570-5480
Entity
Organization
Contact information
Practice address
7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2785
(317) 570-5480
(317) 570-5481
Mailing address
7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2785
(317) 570-5480
(317) 570-5481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402720A
—
IN
Enumeration date
07/08/2008
Last updated
07/08/2008
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