Organization
MIKE M. H. DELDAR,D.D.S.,PC
Active
Other names
Advanced Dentistry & TMJ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE HASHEM DELDAR D.D.S (OWNER)
(317) 208-0000
Entity
Organization
Contact information
Practice address
14753 HAZEL DELL XING, SUITE 700, NOBLESVILLE, IN 46062-7025
(317) 208-0000
(317) 208-4704
Mailing address
14753 HAZEL DELL XING, SUITE 700, NOBLESVILLE, IN 46062-7025
(317) 208-0000
(317) 208-4704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12009956A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12009956A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200204900B
—
IN
Enumeration date
12/23/2010
Last updated
03/21/2011
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