Individual
DR. PENELOPE LYNN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 HOOSIER DR., ANGOLA, IN 46703
(260) 624-3355
(260) 667-9966
Mailing address
240 HOOSIER DR., ANGOLA, IN 46703
(260) 624-3355
(260) 667-9966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12009890
IN
1223G0001X
General Practice Dentistry
Primary
12009890
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200321750
—
IN
Enumeration date
10/18/2006
Last updated
11/08/2023
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