Organization
RUSSEL MULAMBA DDS LLC
Active
Other names
pike plaza dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL MULAMBA D.D.S. (PRESIDENT)
(317) 293-1595
Entity
Organization
Contact information
Practice address
5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3003
(317) 293-1595
Mailing address
5122 W PIKE PLAZA RD, INDIANAPOLIS, IN 46254-3003
(317) 293-1595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010225
IN
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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