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Individual

MICHAEL R RANJBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, DDS

Contact information

Practice address
475 E NORTHFIELD DR STE E, BROWNSBURG, IN 46112-2210
(317) 852-8174
(317) 852-9005
Mailing address
475 E NORTHFIELD DR STE E, BROWNSBURG, IN 46112-2210
(317) 852-8174
(317) 852-9005

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010595A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200462160A
IN
Enumeration date
12/20/2006
Last updated
07/21/2022
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