Individual
DR. HOLLY MARIE AUSTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2733
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011707A
IN
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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