Organization
WALNUT STREET TOTAL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPT RANA DDS (MANAGER)
(734) 369-7375
Entity
Organization
Contact information
Practice address
601 E WALNUT ST, FRANKFORT, IN 46041-2562
(765) 659-4977
Mailing address
3611 W 16TH ST, INDIANAPOLIS, IN 46222-2501
(734) 369-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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