Organization
KIDS & ADULT DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPINDER GILL NAGRA DDS (CEO)
(317) 828-0352
Entity
Organization
Contact information
Practice address
7968 PENDLETON PIKE, INDIANAPOLIS, IN 46226-3957
(317) 828-0352
Mailing address
7214 MISTY WOODS LN, INDIANAPOLIS, IN 46237-9482
(317) 828-0352
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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