Individual
DR. LAILA AL DEHAILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-4906
Mailing address
415 LANSING ST RM 145A, INDIANAPOLIS, IN 46202-2855
(317) 278-4906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
98000937A
IN
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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