Individual
DANA MAHMOUD AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3658 S EAST ST, INDIANAPOLIS, IN 46227-1239
(317) 781-5667
Mailing address
15399 GALLOW LN, NOBLESVILLE, IN 46060-4633
(317) 654-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011629A
IN
1223P0221X
Pediatric Dentistry
12011629A
IN
Other
Enumeration date
07/03/2011
Last updated
07/03/2011
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