Individual
DR. AMENAH THNEIBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-5922
Mailing address
3840 N SHERMAN DR, INDIANAPOLIS, IN 46226-4462
(317) 221-3013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011625A
IN
Other
Enumeration date
07/17/2011
Last updated
05/24/2016
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