Organization
ANDERSON WESTEND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPT RANA DDS (MANAGER)
(734) 369-7375
Entity
Organization
Contact information
Practice address
19 W 9TH ST, ANDERSON, IN 46016-1436
(734) 369-7375
Mailing address
3611 W 16TH ST, INDIANAPOLIS, IN 46222-2501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831486380
PROVIDER NPI
IN
Enumeration date
03/26/2019
Last updated
03/26/2019
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