Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12011170A | IN |
NPI | 1093978140 |
---|---|
Provider Name | Dr. Tanet Add Sinchai |
First Address | Indianapolis, IN 46256-3397 |
Second Address | Indianapolis, IN 46256-3397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 28/08/2014 |