Organization
BRACES FOR U
Active
Organization
BRACES FOR U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITI RANA MAHAJAN DMD (ORTHODONTIST)
(317) 797-6688
Entity
Organization
Contact information
Practice address
9126 TECHNOLOGY LN, FISHERS, IN 46038-3064
(317) 797-6688
Mailing address
4222 KATTMAN CT, CARMEL, IN 46074-1108
(317) 797-6688
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011584A
IN
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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