Iris Corina Mcnicholl DDS

NPI 1003914110 - Dentist - 122300000X

NPI Details
NPI 1003914110
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1481 W 10TH ST
INDIANAPOLIS IN, 46202-2803, US
Phone (317) 988-2016
Fax
Business Location
7328 ROGERS DR
INDIANAPOLIS IN, 46214-2227, US
Phone (317) 988-2016
Fax
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12009732
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According to our database, Dr. Iris Corina Mcnicholl DDS NPI is 1003914110, taxonomy code is 122300000X and license number is 12009732, license state is located at Indiana. Iris Corina Mcnicholl DDS physically located at 1481 W 10th St, Indianapolis IN, 46202-2803. NPI Number Iris Corina Mcnicholl DDS has the Individual type.

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1003914110 NPI number is provided on an as is basis without warranty of any kind. 1003914110 is maintained by the National Plan & Provider Enumeration System. The contents of Iris Corina Mcnicholl DDS are for informational purposes only.