MALEK FANSA D.D.S. LLC. NPI 1619412103

NPI Information

MALEK FANSA D.D.S., LLC. is a general practice dentist in Indianapolis, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MALEK FANSA D.D.S., LLC. NPI is 1619412103. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gentle Family Dentistry At Fort Ben Harrison.

The provider's business location address is:

9620 E 59TH ST
INDIANAPOLIS, IN
ZIP 46216-020
Phone: (317) 545-6545

The provider's authorized official is Malek Fansa .
The authorized official title is Dentist/owner and has the following contact phone number (317) 545-6545.

The enumeration date for this NPI number is 12/20/2016 and was last updated on 12/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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