Individual
DANIEL RAYMOND MADDIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
723 MAIN ST, BEECH GROVE, IN 46107-1513
(317) 787-1361
(317) 788-7199
Mailing address
723 MAIN ST, BEECH GROVE, IN 46107-1513
(317) 787-1361
(317) 788-7199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009033
IN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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