Individual
MRS. KRISTIN MICHELLE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13007081A
IN
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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