Individual
DR. AMMAR C. LOULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11530 E WASHINGTON STREET, INDIANAPOLIS, IN 46229-2828
(317) 869-0000
(317) 869-0233
Mailing address
11530 E WASHINGTON STREET, INDIANAPOLIS, IN 46229-2828
(317) 869-0000
(317) 869-0233
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12009247
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31-1915397
TAX ID. #
IN
Enumeration date
03/14/2007
Last updated
05/25/2023
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