Organization
MOUCHAHAM DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MOUCHAHAM DMD (OWNER/DENTIST)
(765) 729-2236
Entity
Organization
Contact information
Practice address
5790 E MAIN ST STE 110, CARMEL, IN 46033-6200
(317) 844-2810
Mailing address
14707 KELLER TER, CARMEL, IN 46033-8887
(765) 729-2236
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/27/2024
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