Individual
DR. NICOLE KATHLEEN WEDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3737 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-4348
(317) 924-5359
(317) 920-4391
Mailing address
9944 ESTEP DR, INDIANAPOLIS, IN 46280-1588
(317) 569-9309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011147A
IN
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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