Individual
HENGAMEH MOTEVASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5868 E 71ST ST, SUITE E, INDIANAPOLIS, IN 46220-4075
(317) 759-1020
(800) 269-9947
Mailing address
1130 COTTONWOOD CREEK TRL STE 1, CEDAR PARK, TX 78613-7861
(512) 593-7970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012494A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36297
TX
Other
Enumeration date
06/27/2016
Last updated
09/08/2022
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