Organization
W MICHAEL PRINCELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA G PRINCELL RN (OFFICE ADMIN)
(317) 577-2478
Entity
Organization
Contact information
Practice address
7207 N SHADELAND AVE, SUITE A, INDPLS, IN 46250
(317) 577-2478
(317) 578-8773
Mailing address
7207 N SHADELAND AVE, SUITE A, INDPLS, IN 46250
(317) 577-2478
(317) 578-8773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009143
IN
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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