Individual
TATIANA DE BEDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7957
Mailing address
344 W COLUMBINE LN, WESTFIELD, IN 46074-9739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012254A
IN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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