Organization
ANDERSON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSIM FAYEZ OLABI DDS, MSD (OWNER/PEDIATRIC DENTIST)
(765) 642-3263
Entity
Organization
Contact information
Practice address
502 E 8TH ST, ANDERSON, IN 46012-4017
(765) 642-3263
Mailing address
502 E 8TH ST, ANDERSON, IN 46012-4017
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010787A
IN
Other
Enumeration date
06/09/2011
Last updated
09/25/2014
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