Organization
CARMEL FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (MANAGER)
(317) 395-2419
Entity
Organization
Contact information
Practice address
3021 E 98TH ST STE 240, CARMEL, IN 46280-1964
(317) 395-2419
Mailing address
33300 WARREN RD STE 29, WESTLAND, MI 48185-9627
(317) 401-6216
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
09/13/2024
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