Individual
DR. MARK JAMES ZIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
Mailing address
5470 LAFAYETTE RD, INDIANAPOLIS, IN 46254-1620
(317) 293-4611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012502A
IN
Other
Enumeration date
05/25/2016
Last updated
03/12/2018
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