Individual
MARIAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 E 10TH ST, INDIANAPOLIS, IN 46201-2744
(317) 659-9045
Mailing address
7060 WOODGATE CIR, FISHERS, IN 46038-1772
(317) 384-0659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014418A
IN
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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