Organization
AMK DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFAQ M. KHEIRI DDS (OWNER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
4939 E 82ND ST, INDIANAPOLIS, IN 46250-5678
(317) 578-8900
(317) 578-8935
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010691A
IN
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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