Organization
XU FAMILY DENTAL, LLC
Active
Other names
Xu Sleep Clinic, Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAIFENG XU DDS, PHD (DENTIST/OWNER)
(317) 602-4898
Entity
Organization
Contact information
Practice address
828 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
(317) 602-4898
(317) 559-7159
Mailing address
14536 STONEGATE CT, CARMEL, IN 46032-9132
(317) 602-4898
(317) 559-7159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201283020
—
IN
Enumeration date
05/24/2018
Last updated
08/31/2022
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