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General NPI Number Information
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NPI Number | 1457202855
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Entity Type | Organization
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Legal Business Name | VEGA DENTAL LLC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1123 S RANGELINE RD
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City | CARMEL
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State | IN
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Zip | 46032-2545
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Country | US
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Telephone | 857-218-9178
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Fax |
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Provider Business Mailing Address
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Address Line | 12469 CLARK ST APT 304
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City | CARMEL
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State | IN
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Zip | 46032-7675
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Country | US
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Telephone | 857-218-9178
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. AMLAN PANKAJ
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Credential | BDS, MPH, CAGS
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Telephone | 857-218-9178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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