Individual
MINDY M VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
9002 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46260-5381
(317) 846-4980
(317) 846-4982
Mailing address
9002 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46260-5381
(317) 846-4980
(317) 846-4982
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12010771A
IN
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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