Individual
LAKSHMI GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
415 LANSING ST, OH 101, INDIANAPOLIS, IN 46202-2855
(317) 274-8822
Mailing address
111 W MAIN ST, 2B, CARMEL, IN 46032-1910
(510) 364-7716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011434A
IN
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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