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Organization
SWEET TOOTH DENTISTRY, LLC
Active
Organization
SWEET TOOTH DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEREEN A ELSAHY DDS (DENTIST / OWNER)
(317) 910-7832
Entity
Organization
Contact information
Practice address
9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
(317) 910-7832
Mailing address
9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
(317) 910-7832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12012010A
IN DENTAL LICENSE
IN
01
—
1851731483
NPI TYPE 1
IN
05
—
201249040
—
IN
Enumeration date
05/10/2022
Last updated
05/10/2022
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