Organization
SAMELA FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARIE LAMONT RDH (DIRECTOR OF OPERATIONS)
(317) 450-4899
Entity
Organization
Contact information
Practice address
1678 FRY RD STE B, GREENWOOD, IN 46142-1176
(314) 360-8443
Mailing address
11934 E 79TH ST, INDIANAPOLIS, IN 46236-0110
(317) 450-4899
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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