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Organization

NAM PARK DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KASIE Y. NAM DDS (DENTIST)
(317) 257-3368
Entity
Organization

Contact information

Practice address
6117 N COLLEGE AVE STE 1&2, INDIANAPOLIS, IN 46220-2233
(317) 257-3368
Mailing address
6117 N COLLEGE AVE STE 1&2, INDIANAPOLIS, IN 46220-2233
(317) 257-3368

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010943
IN

Other

Enumeration date
11/03/2014
Last updated
11/03/2014
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