Individual
JORDANNE GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7218 US 31 S, INDIANAPOLIS, IN 46227-8539
(317) 882-0228
Mailing address
1511 WOODLAWN AVE, INDIANAPOLIS, IN 46203-1256
(937) 728-2231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
120123456B
IN
122300000X
Dentist
Primary
12013456A
IN
Other
Enumeration date
08/12/2020
Last updated
08/31/2020
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