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Individual

MARIELA GARCIA DE LA NOCEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1942 STATE ST, COLUMBUS, IN 47201-6966
(787) 810-9193
Mailing address
335 W 9TH ST, UNIT 1010, INDIANAPOLIS, IN 46202-3121
(787) 810-9193

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4779887
PR

Other

Enumeration date
06/19/2015
Last updated
08/08/2016
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