Dr. Balaji Kolasani, DDS
Dentist in Lawrence, IN. Individual provider (NPI-1).
NPI number1619717618
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1619717618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Balaji Kolasani
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2024
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12014415A | IN | Yes |
Practice location
8180 Pendleton PikeLawrence, IN 46226-4015
Phone 317-426-1562
Mailing address
8180 Pendleton PikeLawrence, IN 46226-4015
Phone 317-426-1562
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