Individual
AHMED AL-DARRAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1535 PROSPECT ST, INDIANAPOLIS, IN 46203-2053
(844) 950-3200
Mailing address
1535 PROSPECT ST, INDIANAPOLIS, IN 46203-2053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013861A
IN
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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