Individual
NYLA J COURTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9786 W DELPHI PIKE 27, CONVERSE, IN 46919-9574
(765) 395-3555
(765) 395-3141
Mailing address
9786 W DELPHI PIKE 27, CONVERSE, IN 46919-9574
(765) 395-3555
(765) 395-3141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8561
IN
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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