Individual
DR. JESSICA ELAINE BOLANDER WOODHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-0001
(317) 846-6125
(317) 846-6282
Mailing address
9310 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-0001
(317) 846-6125
(317) 846-6282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200524690
—
IN
Enumeration date
10/04/2006
Last updated
02/03/2016
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