| Lakewood Family Dental Of Carmel Llc | |
|
2330 E 116th St Carmel IN 46032-3217 | |
| (317) 456-7869 | |
| Not Available |
| Full Name | Lakewood Family Dental Of Carmel Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2330 E 116th St, Carmel, Indiana |
| Authorized Official Name and Position | Srinivasulu Kakollu (DENTIST) |
| Authorized Official Contact | 7323790953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Family Dental Of Carmel Llc 8777 Purdue Rd Ste 115 Indianapolis IN 46268-3104 Ph: () - | Lakewood Family Dental Of Carmel Llc 2330 E 116th St Carmel IN 46032-3217 Ph: (317) 456-7869 |
| NPI Number | 1588168876 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588168876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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