Individual
MR. LOUIS ABUKHALAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14560 RIVER RD STE 105, CARMEL, IN 46033-5802
(317) 764-2938
(317) 219-6781
Mailing address
12620 MISTY RIDGE CT, FISHERS, IN 46037-4423
(312) 375-5306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011660
IN
1223E0200X
Endodontics
12011660
IN
1223G0001X
General Practice Dentistry
12011660
IN
1223G0001X
General Practice Dentistry
12011660A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12011660
IN
Other
Enumeration date
06/11/2011
Last updated
06/03/2019
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