Individual
GLENDALE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 N SHORTRIDGE RD STE 100, INDIANAPOLIS, IN 46219-4917
(317) 357-2235
Mailing address
115 N SHORTRIDGE RD STE 100, INDIANAPOLIS, IN 46219-4917
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12013269
IN
Other
Enumeration date
08/03/2016
Last updated
02/02/2024
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