Individual
DR. ELAINE ELIZABETH REINA-QUINONEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4525 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2010
(317) 608-7354
Mailing address
14749 BEACON PARK DR, CARMEL, IN 46032-5046
(317) 608-7354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011740A
IN
1223P0700X
Prosthodontics
Primary
12011740A
IN
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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