Individual
DR. ALEXANDER M MISHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6425 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2158
(317) 255-2941
(317) 255-1656
Mailing address
6425 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2158
(317) 255-2941
(317) 255-1656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009382
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218580A
—
IN
Enumeration date
08/25/2008
Last updated
08/25/2008
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