Individual
RICHEL GEISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1113 INDIANAPOLIS RD, GREENCASTLE, IN 46135-2408
(765) 276-4905
Mailing address
5788 INDEPENDENCE AVE, INDIANAPOLIS, IN 46234-3681
(317) 670-9768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012706A
IN
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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