Individual
ADRIENNE RANLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 PARNELL AVE, FORT WAYNE, IN 46805-1413
(260) 482-8386
Mailing address
4041 PARNELL AVE, FORT WAYNE, IN 46805-1413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011318A
IN
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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