Individual
JEANINE M FILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3610 N BRIARWOOD LN, MUNCIE, IN 47304-5219
(765) 289-1578
(765) 289-7901
Mailing address
3610 N BRIARWOOD LN, MUNCIE, IN 47304-5219
(765) 289-1578
(765) 289-7901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009865
IN
Other
Enumeration date
01/03/2007
Last updated
10/19/2016
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