Organization
DR. TANNOUS, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAWAN TANNOUS DDS (DENTIST)
(708) 717-4365
Entity
Organization
Contact information
Practice address
3965 W 106TH ST, CARMEL, IN 46032-7750
(708) 717-4365
Mailing address
10775 ONYX DR, CARMEL, IN 46032-9494
(708) 717-4365
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
09/08/2020
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