Individual
DR. ALYSHA R MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7141 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2220
(219) 844-3635
(219) 845-3635
Mailing address
7141 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2220
(219) 844-3635
(219) 845-2625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012154A
IN
1223G0001X
General Practice Dentistry
Primary
1202154A
IN
Other
Enumeration date
07/15/2014
Last updated
05/19/2021
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