| Nicole Van Le, Dds, Llc | |
|
9105 E 56th St Indianapolis IN 46216-2229 | |
| (317) 442-5411 | |
| Not Available |
| Full Name | Nicole Van Le, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 9105 E 56th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Nicole Le (OWNER AND MEMBER) |
| Authorized Official Contact | 3174425411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Van Le, Dds, Llc 11623 Cannington Cir Fishers IN 46037-4398 Ph: (317) 442-5411 | Nicole Van Le, Dds, Llc 9105 E 56th St Indianapolis IN 46216-2229 Ph: (317) 442-5411 |
| NPI Number | 1083919625 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083919625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010056 (Indiana) | Primary |
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