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Individual

FIDEL BARBOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
12525 N MERIDIAN ST, CARMEL, IN 46032-9150
(317) 571-9610
(317) 571-9620
Mailing address
12525 N MERIDIAN ST, CARMEL, IN 46032-9150
(317) 571-9610
(317) 571-9620

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009845
IN

Other

Enumeration date
02/16/2007
Last updated
07/08/2007
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