Organization
JENNIFER A. NEISE, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER NEISE D.D.S. (PRESIDENT)
(765) 778-7585
Entity
Organization
Contact information
Practice address
3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
(765) 778-7585
Mailing address
3132 W STATE ROAD 38, PENDLETON, IN 46064-8702
(765) 778-7585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12010223A
IN
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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