Individual
DR. JAMIE LEE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1788
(765) 288-1307
Mailing address
10900 E JACKSON ST, SELMA, IN 47383-9451
(765) 256-0940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013704A
IN
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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