Individual
DR. MOLLY ELIZABETH DWENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11959 LAKESIDE DR, FISHERS, IN 46038-1316
(317) 577-1911
Mailing address
11959 LAKESIDE DR, FISHERS, IN 46038-1316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013361A
IN
390200000X
Student in an Organized Health Care Education/Training Program
2951000814
MI
Other
Enumeration date
06/16/2020
Last updated
08/16/2021
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