Individual
DR. MARY ELLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11983 HAWTHORN RDG, FISHERS, IN 46037-8787
(317) 701-0016
Mailing address
11983 HAWTHORN RDG, FISHERS, IN 46037-8787
(317) 701-0016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009810A
IN
Other
Enumeration date
11/12/2010
Last updated
07/01/2013
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