Organization
BROOKSIDE DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPT RANA DDS (MEMBER)
(734) 369-7375
Entity
Organization
Contact information
Practice address
2536 E 10TH ST, INDIANAPOLIS, IN 46201-2155
(317) 731-2677
Mailing address
583 WINDBOROUGH, BROWNSBURG, IN 46112-9341
(734) 369-7375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012266A
IN
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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