JACK E NICEWANDER

Dental Clinic/Center

NPI: 1689067928Organization

Specialties, Licenses & Credentials

Dental Clinic/CenterPrimary

Clinic/Center — Dental

Code: 261QD0000X

12007501A(IN)

Contact & Hours

Address: 5511 E 82ND ST, SUITE F
INDIANAPOLIS, IN 46250
Phone: (317) 842-1903

Quick Facts

NPI: 1689067928
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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