Organization
SMILEVIBE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISSA MAHMOUDI DDS (DENTIST)
(459) 328-9536
Entity
Organization
Contact information
Practice address
1375 PARKWAY DR, ZIONSVILLE, IN 46077-1954
(317) 873-8902
Mailing address
5922 GARDEN GATE WAY, CARMEL, IN 46033-8251
(469) 328-9536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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