Organization
LOULY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMMAR C. LOULY DDS (PRESIDENT)
(317) 869-0000
Entity
Organization
Contact information
Practice address
11530 E WASHINGTON STREET, INDIANAPOLIS, IN 46229-2828
(317) 869-0000
(317) 869-0233
Mailing address
11530 E WASHINGTON STREET, INDIANAPOLIS, IN 46229-2828
(317) 869-0000
(317) 869-0233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0700X
Prosthodontics
12009247A
IN
1223P0700X
Prosthodontics
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/12/2011
Last updated
05/25/2023
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