Individual
DR. ALISA FABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10655 STATE ROAD 662, NEWBURGH, IN 47630
(812) 853-3313
Mailing address
5512 ACORN WOODS CIR, INDIANAPOLIS, IN 46224-6182
(812) 664-2289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013600A
IN
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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