Provider Demographics
NPI:1831338383
Name:INDIAN SPRINGS DENTAL EXCELLENCE, MANJU KEJRIWAL DDS, INC
Entity type:Organization
Organization Name:INDIAN SPRINGS DENTAL EXCELLENCE, MANJU KEJRIWAL DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:THUNGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-893-8600
Mailing Address - Street 1:3991 HAMILTON MIDDLETOWN RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-6223
Mailing Address - Country:US
Mailing Address - Phone:513-893-8600
Mailing Address - Fax:513-893-8666
Practice Address - Street 1:3991 HAMILTON MIDDLETOWN RD
Practice Address - Street 2:SUITE M
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-6223
Practice Address - Country:US
Practice Address - Phone:513-893-8600
Practice Address - Fax:513-893-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty