Individual
JULIANNA MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319
(219) 872-9151
Mailing address
1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319
(469) 744-9525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014828A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/06/2023
Last updated
08/27/2025
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