Individual
GHIATH HALWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 MOUNDS RD, ANDERSON, IN 46016-5713
(765) 642-0400
Mailing address
2128 MOUNDS RD, ANDERSON, IN 46016-5713
(765) 642-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010049
IN
Other
Enumeration date
12/15/2006
Last updated
09/27/2012
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