Organization
JOEL A LANIE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL AMOUS LANIE D.D.S. (DOCTOR)
(317) 459-0618
Entity
Organization
Contact information
Practice address
50 S STATE ROAD 135, BARGERSVILLE, IN 46106-8950
(317) 459-0618
Mailing address
3321 E LORETTA DR, INDIANAPOLIS, IN 46227-7713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011349A
IN
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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