Organization
SITARAM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPESH SITARAM DDS (OWNER)
(317) 506-8350
Entity
Organization
Contact information
Practice address
3780 W JONATHAN MOORE PIKE STE 180, COLUMBUS, IN 47201-9430
(812) 342-9666
Mailing address
3780 W JONATHAN MOORE PIKE STE 180, COLUMBUS, IN 47201-9430
(317) 506-8350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010835A
IN
Other
Enumeration date
09/13/2008
Last updated
11/08/2017
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