Individual
FABIANA FONTES CLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6820 PARKDALE PL STE 117, INDIANAPOLIS, IN 46254-4699
(317) 329-7373
Mailing address
12708 BRANDENBURG DR, CARMEL, IN 46032-8390
(310) 745-1001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013796A
IN
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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