Individual
ANNE SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
210 N FRONT ST, RENSSELAER, IN 47978-2620
(219) 866-4533
Mailing address
2233 COLFAX LN, INDIANAPOLIS, IN 46260-6601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011491A
IN
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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