Organization
URGENT DENTAL CENTER SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REKHA CHAUDHARI DDS (OWNER)
(847) 894-0631
Entity
Organization
Contact information
Practice address
8925 MADISON AVE STE C, INDIANAPOLIS, IN 46227-6257
(847) 894-0631
Mailing address
8925 MADISON AVE STE C, INDIANAPOLIS, IN 46227-6257
(847) 894-0631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201288294
—
IN
Enumeration date
06/04/2019
Last updated
11/28/2022
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