Individual
MRS. MARYCARMEN CARPIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 E 38TH ST, INDIANAPOLIS, IN 46218-1454
(317) 743-0300
Mailing address
1967 N COUNTY ROAD 100 E, DANVILLE, IN 46122-8309
(317) 946-0703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013447A
IN
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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