Individual
MAHDI TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-5316
(317) 575-6100
Mailing address
8801 N MERIDIAN ST STE 300, INDIANAPOLIS, IN 46260-5316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013908A
IN
Other
Enumeration date
06/03/2022
Last updated
10/04/2022
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