Organization
AFFORDABLE WESTEND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPT RANA DDS (MANAGER)
(734) 369-7375
Entity
Organization
Contact information
Practice address
2915 LAFAYETTE RD, INDIANAPOLIS, IN 46222-2113
(317) 931-1000
Mailing address
3611 W 16TH ST, INDIANAPOLIS, IN 46222-2501
(734) 369-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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