Individual
MARIA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1320 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2001
(812) 339-7743
Mailing address
1320 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2001
(812) 339-7743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013354A
IN
Other
Enumeration date
06/04/2020
Last updated
03/03/2022
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