Organization
BATH FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANDEEP K BATH DDS,MSD (DENTIST/OWNER)
(317) 987-5603
Entity
Organization
Contact information
Practice address
3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1742
(317) 987-5603
Mailing address
3410 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-1742
(317) 987-5603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012382A
IN
Other
Enumeration date
11/02/2017
Last updated
06/16/2018
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