Individual
MADELINE RUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
435 VIRGINIA AVE UNIT 1800, INDIANAPOLIS, IN 46203-0016
(317) 854-3772
Mailing address
2485 S COUNTY ROAD 625 E, AVON, IN 46123-8189
(407) 506-5694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014729A
IN
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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