Individual
CARMEN YAMILY PAEZ DE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-2287
Mailing address
745 RICHLAND WAY, WESTFIELD, IN 46074-9145
(317) 818-0832
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12010273A
IN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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