Individual
GRETTER HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
110B N AVON AVE, AVON, IN 46123-8475
(317) 272-7206
Mailing address
14440 W 187TH TER, OLATHE, KS 66062-9522
(305) 479-0955
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012375A
IN
Other
Enumeration date
08/19/2015
Last updated
10/24/2018
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