Individual
DIANA LESKO MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
549 PARKVIEW DR, NEW WHITELAND, IN 46184-1365
(317) 535-7522
Mailing address
451 E ADAMS ST, FRANKLIN, IN 46131-1825
(317) 736-8150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7639
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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