# ARTISTIC FAMILY DENTAL - HIGHLAND CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699139311
- **Authorized official:** ESAM JUMANI D.D.S. (DENTIST)
- **Authorized official phone:** (917) 544-1626

## Contact information

- **Practice address:** 3307 45TH ST, HIGHLAND, IN 46322-3211
- **Practice address phone:** (219) 836-7684
- **Mailing address:** 3307 45TH ST, HIGHLAND, IN 46322-3211
- **Mailing address phone:** (219) 836-7684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12012216A | IN | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 04/08/2016