Organization
LAFAYETTE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIDDHI KSHATRIYA (DENTIST/OWNER)
(662) 414-5375
Entity
Organization
Contact information
Practice address
3554 PROMENADE PKWY STE D, LAFAYETTE, IN 47909-8418
(317) 985-7363
Mailing address
4031 WHITAKER DR, INDIANAPOLIS, IN 46254-2307
(662) 414-5375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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