Individual
DR. BALAJI KOLASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8180 PENDLETON PIKE, LAWRENCE, IN 46226-4015
(317) 426-1562
Mailing address
8180 PENDLETON PIKE, LAWRENCE, IN 46226-4015
(317) 426-1562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014415A
IN
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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