Individual
DR. SARA P VIERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6820 PARKDALE PL, SUITE 117, INDIANAPOLIS, IN 46254-6601
(317) 329-7373
(866) 919-9416
Mailing address
6820 PARKDALE PL, SUITE 117, INDIANAPOLIS, IN 46254-6601
(317) 329-7373
(866) 919-9416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200381910
—
IN
Enumeration date
05/05/2006
Last updated
10/12/2012
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