Individual
HEATHER IRELAND X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 W KEM RD, SUITE G, MARION, IN 46952-2561
(765) 664-5164
Mailing address
1251 W KEM RD, SUITE G, MARION, IN 46952-2561
(765) 664-5164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IN
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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