Organization
MARK A. KAHN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A KAHN DDS (PRESIDENT)
(317) 299-0353
Entity
Organization
Contact information
Practice address
6211 W 30TH ST, INDIANAPOLIS, IN 46224-3048
(317) 299-0353
Mailing address
6211 W 30TH ST, INDIANAPOLIS, IN 46224-3048
(317) 299-0353
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009076
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131620
—
IN
01
—
162916151
NPI TYPE 1
IN
Enumeration date
11/02/2015
Last updated
11/02/2015
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