Individual
DR. JENNY ILISHA MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
494 S EMERSON AVE, SUITE K, GREENWOOD, IN 46143-1912
(317) 882-2880
Mailing address
2428 N STONELAKE CIR, BLOOMINGTON, IN 47404-1503
(317) 695-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011327A
IN
Other
Enumeration date
07/14/2009
Last updated
01/14/2015
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