| Lakewood Family Dental Of Anderson | |
|
1537 S Scatterfield Rd Suite A Anderson IN 46016-5783 | |
| (732) 379-0953 | |
| Not Available |
| Full Name | Lakewood Family Dental Of Anderson |
|---|---|
| Speciality | Dentist |
| Location | 1537 S Scatterfield Rd, Anderson, Indiana |
| Authorized Official Name and Position | Srinivasulu Kakollu (PRESIDENT) |
| Authorized Official Contact | 7323790953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Dental Of Anderson 1537 S Scatterfield Rd Suite A Anderson IN 46016-5783 Ph: (732) 379-0953 | Lakewood Family Dental Of Anderson 1537 S Scatterfield Rd Suite A Anderson IN 46016-5783 Ph: (732) 379-0953 |
| NPI Number | 1215488036 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215488036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012121A (Indiana) | Primary |
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