Individual
AUDREY KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
341 LOGAN ST STE 110, NOBLESVILLE, IN 46060-1572
(317) 773-0010
Mailing address
2317 N NEW JERSEY ST, INDIANAPOLIS, IN 46205-4337
(317) 517-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012944A
IN
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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