Individual
JOHN T NOTARIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 W MCGALLIARD RD, MUNCIE, IN 47304-2210
(765) 282-2700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011283A
IN
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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