Individual
DAWN SUSANNE SISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDH/RDH
Contact information
Practice address
5250 E US HIGHWAY 36 STE 160, AVON, IN 46123-9078
(317) 745-1680
Mailing address
467 TOMAHAWK TRL # 1909, INDIANAPOLIS, IN 46214-2800
(317) 679-4073
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13004094A
IN
124Q00000X
Dental Hygienist
2902018760
MI
Other
Enumeration date
04/04/2021
Last updated
04/04/2021
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