Individual
MARIQUITA MARQUINEZ PALANCA-BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8280 MICHIGAN RD, SUITE A, INDIANAPOLIS, IN 46268-3826
(317) 337-0233
(317) 337-0234
Mailing address
8280 MICHIGAN RD, SUITE A, INDIANAPOLIS, IN 46268-3826
(317) 337-0233
(317) 337-0234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009522
IN
Other
Enumeration date
03/29/2007
Last updated
07/09/2007
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