SARA GHOLAM, DMD
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1194245225
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | LDR170182 (IN) |
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | DS042216 (PA) |
Frequently Asked Questions
NPI 1194245225 is the National Provider Identifier for SARA GHOLAM, DMD, a Dentist - Pediatric Dentistry provider located in Indianapolis, IN. This NPI was enumerated on June 20, 2017.
SARA GHOLAM, DMD practices at 1121 W MICHIGAN ST RM 280B, Indianapolis, IN 46202.
Quick Facts
- NPI
- 1194245225
- Type
- Individual
- Enumerated
- Jun 20, 2017
- Last Updated
- Jul 2, 2019
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