Individual
DR. NATALIE ASAVANANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(463) 230-2030
Mailing address
4105 BYRAM AVE, INDIANAPOLIS, IN 46208-3852
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12014236A
IN
Other
Enumeration date
09/14/2023
Last updated
09/23/2023
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