Organization
FOGG SAY SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBWAR RAHEEMA (OWNER)
(317) 541-1900
Entity
Organization
Contact information
Practice address
9940 PENDLETON PIKE STE B, INDIANAPOLIS, IN 46236-2823
(317) 541-1900
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/20/2023
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