Individual
DR. HEIDY MARISSA CASTELLANOS GIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7207 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2880
(401) 359-6969
Mailing address
7207 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2880
(401) 359-6969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL14095
MA
1223G0001X
General Practice Dentistry
Primary
12014573A
IN
Other
Enumeration date
07/16/2016
Last updated
10/15/2024
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