Organization
HANI AHDAB DDS, LLC
Active
Other names
Lafayette Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI AHDAB DDS, MS (PRESIDENT)
(949) 280-9609
Entity
Organization
Contact information
Practice address
1209 WINTHROP AVE, LAFAYETTE, IN 47909-2420
(765) 477-7722
Mailing address
328 STONEHEDGE DR, CARMEL, IN 46032-1274
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012631A
IN
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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