Individual
DR. MARISA MARIE KENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9002 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2501
(219) 972-2144
(219) 972-1066
Mailing address
9002 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2501
(219) 972-2144
(219) 972-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012396A
IN
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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