Individual
MADISON WHYBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1788
(765) 246-8363
Mailing address
9315 W RISING SUN DR, PENDLETON, IN 46064-8665
(765) 623-8422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014510A
IN
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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