Little Smiles, P.c.

NPI 1063543965 - Dentist - 1223P0221X

NPI Details
NPI 1063543965
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MYRNA MYRNA
Position OWNER
Phone (317) 984-1800
Fax (317) 984-1877
Practice Location
409 N PERU ST
CICERO IN, 46034-9498, US
Phone (317) 984-1800
Fax (317) 984-1877
Business Location
409 N PERU ST
CICERO IN, 46034-9498, US
Phone (317) 984-1800
Fax (317) 984-1877
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12010005
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According to our database, Little Smiles, P.c. NPI is 1063543965, taxonomy code is 1223P0221X and license number is 12010005, license state is located at Indiana. Little Smiles, P.c. physically located at 409 N Peru St, Cicero IN, 46034-9498. NPI Number 1033115704 has the healthcare provider type.

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1063543965 NPI number is provided on an as is basis without warranty of any kind. 1063543965 is maintained by the National Plan & Provider Enumeration System. The contents of Little Smiles, P.c. are for informational purposes only.