Organization
LUMINANT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD HASAN (OWNER)
(708) 567-8610
Entity
Organization
Contact information
Practice address
9013 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
(574) 208-5020
Mailing address
9013 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
(574) 208-5020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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