# LINA AL-BITAR DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gray Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902293640
- **Authorized official:** DR. LINA AL-BITAR DDS (DENTIST/OWNER)
- **Authorized official phone:** (317) 897-5787

## Contact information

- **Practice address:** 8001 E 10TH ST, INDIANAPOLIS, IN 46219-5240
- **Practice address phone:** (317) 897-5787
- **Mailing address:** 8001 E 10TH ST, INDIANAPOLIS, IN 46219-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008789A | IN | — |
| 122300000X | Dentist | 12011375A | IN | Yes |
| 124Q00000X | Dental Hygienist | 12008789A | IN | — |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/22/2015