Individual
DR. BRITTANY CAROL EIRWIN-MAQUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3430 W STATE ROAD 66, ROCKPORT, IN 47635-9259
(812) 649-4416
Mailing address
3430 WEST STATE ROAD 66, ROCKPORT, IN 47635-9259
(812) 649-4416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011855A
IN
1223G0001X
General Practice Dentistry
9189
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115460A
—
IN
Enumeration date
07/10/2012
Last updated
11/08/2012
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