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Organization

SWEET TOOTH DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEREEN A ELSAHY DDS (DENTIST / OWNER)
(317) 910-7832
Entity
Organization

Contact information

Practice address
9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
(317) 910-7832
Mailing address
9510 N MERIDIAN ST STE 250, INDIANAPOLIS, IN 46260-1334
(317) 910-7832

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12012010A
IN DENTAL LICENSE
IN
01
1851731483
NPI TYPE 1
IN
05
201249040
IN
Enumeration date
05/10/2022
Last updated
05/10/2022
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