Individual
JAIME LYN STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9602 E WASHINGTON ST, SUITE C, INDIANAPOLIS, IN 46229-4504
(317) 899-5437
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 583-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010792A
IN
1223P0221X
Pediatric Dentistry
Primary
12010792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536990
—
IN
Enumeration date
03/01/2007
Last updated
12/17/2012
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