Individual
DR. AMY MARIE GERARDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3909 N WHEELING AVE, MUNCIE, IN 47304-1769
(765) 288-1475
(765) 289-3584
Mailing address
11691 KITTERY DR, FISHERS, IN 46037-7858
(317) 578-2429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010345A
IN
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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