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 |
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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 |
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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 |
News Archive
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› Verified 8 days ago
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