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Individual

DR. JEAN M SANTA MARIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
116 WALTER REMLEY DR, CRAWFORDSVILLE, IN 47933-3350
(765) 362-1346
Mailing address
606 W WABASH AVE, CRAWFORDSVILLE, IN 47933-2422
(765) 362-5128

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008714
IN

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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