Individual
HESHAM ALOUTHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-1840
Mailing address
460 N WHITE RIVER PARKWAY EAST DR # 430, INDIANAPOLIS, IN 46202
(317) 332-6024
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
LDR200261
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H39158550
INDIANA UNIVERSITY - DENTAL RESIDENCY
IN
Enumeration date
02/21/2023
Last updated
03/03/2023
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