Organization
ACCESS DENTAL ASSOCIATES, LLC
Active
Other names
Access Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNEL JAMES GALLANOSA DDS (PRESIDENT)
(317) 506-2997
Entity
Organization
Contact information
Practice address
3750 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-4375
(317) 283-2255
Mailing address
3750 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-4375
(317) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009962A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200353150A
—
IN
Enumeration date
12/14/2012
Last updated
12/14/2012
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