Individual
MEENARIN PANITTAVEEKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,MSD
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7957
Mailing address
790 IVY LN, CARMEL, IN 46032-4667
(463) 317-9221
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
LDF220018
IN
Other
Enumeration date
01/06/2020
Last updated
11/23/2022
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