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Organization
AFFINITY FAMILY DENTAL LLC
Active
Organization
AFFINITY FAMILY DENTAL LLC
Active
Other names
Affinity Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(217) 303-5955
Entity
Organization
Contact information
Practice address
2158 INTELLIPLEX DR STE 114, SHELBYVILLE, IN 46176-8549
(317) 392-3231
Mailing address
2158 INTELLIPLEX DR STE 114, SHELBYVILLE, IN 46176-8549
(317) 392-3231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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