Individual
MICAELA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1316 MILL ST, CRAWFORDSVILLE, IN 47933-3644
(765) 362-9245
Mailing address
8854 N COUNTY ROAD 21 W, LIZTON, IN 46149-9457
(317) 508-5099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013854A
IN
Other
Enumeration date
09/29/2022
Last updated
03/25/2023
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