Organization
RLI DENTAL, LLC
Active
Other names
Simply Smile
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL ANNE NEMSER LDH (BUSINESS MANAGER)
(317) 570-5480
Entity
Organization
Contact information
Practice address
7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2785
(317) 570-5480
(317) 570-5481
Mailing address
7340 CROSSING PL, SUITE 200, FISHERS, IN 46038-2785
(317) 570-5480
(317) 570-5481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010486A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402720A
—
IN
Enumeration date
07/08/2008
Last updated
07/08/2008
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