Individual
MASATOSHI ANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1121 W MICHIGAN ST, STE # DS 285, INDIANAPOLIS, IN 46202-5211
(317) 274-8822
(317) 274-5425
Mailing address
1121 W MICHIGAN ST, STE # DS 285, INDIANAPOLIS, IN 46202-5211
(317) 274-8822
(317) 274-5425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
98000625A
IN
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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