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Individual

MARLY RIZKALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1650 N COLLEGE AVE STE B, INDIANAPOLIS, IN 46202-1715
(317) 880-0888
(317) 880-0886
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014479A
IN

Other

Enumeration date
06/10/2024
Last updated
09/30/2025
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