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Individual

MR. HANI MICHAEL MAROGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR

Contact information

Practice address
1800 FORT HARRISON RD, TERRE HAUTE, IN 47804-1413
(317) 839-5500
Mailing address
12231 N MOORES CT, CAMBY, IN 46113-8536
(303) 579-4077

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12013290A
IN
122300000X
Dentist
7330
CO
1223G0001X
General Practice Dentistry
Primary
12013290A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300055060
IN
Enumeration date
08/16/2006
Last updated
08/06/2024
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