Organization
LINA AL-BITAR DDS LLC
Active
Other names
Gray Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA AL-BITAR DDS (DENTIST/OWNER)
(317) 897-5787
Entity
Organization
Contact information
Practice address
8001 E 10TH ST, INDIANAPOLIS, IN 46219-5240
(317) 897-5787
Mailing address
8001 E 10TH ST, INDIANAPOLIS, IN 46219-5240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12008789A
IN
122300000X
Dentist
Primary
12011375A
IN
124Q00000X
Dental Hygienist
12008789A
IN
Other
Enumeration date
04/21/2015
Last updated
04/22/2015
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