Individual
DR. GERARDO MAUPOME-CARVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 LANSING ST, INDIANAPOLIS, IN 46202-2855
(317) 274-5529
Mailing address
415 LANSING ST, INDIANAPOLIS, IN 46202-2855
(317) 274-5529
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
98000619A
IN
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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