Individual
KHALED AL NASR ALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2380 MERCHANT MILE, COLUMBUS, IN 47201-1557
(812) 669-0250
Mailing address
1321 N MERIDIAN ST APT 603, INDIANAPOLIS, IN 46202-2357
(317) 832-9459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013774A
IN
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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