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Individual

HAWRA ALQALLAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Mailing address
1121 W MICHIGAN ST # DS422, INDIANAPOLIS, IN 46202-5211
(317) 274-2959

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12013193A
IN

Other

Enumeration date
08/05/2019
Last updated
01/30/2026
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