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1659443802
JACK E. NICEWANDER
INDIANAPOLIS, IN
NPI
1659443802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12007501A)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
Dr. JACK E. NICEWANDER D.D.S.
5511 E 82ND ST SUITE F
INDIANAPOLIS, IN 46250-4698
Phone number: 317-842-1903
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Mailing Address
Dr. JACK E. NICEWANDER D.D.S.
5511 E 82ND ST SUITE F
INDIANAPOLIS, IN 46250-4698
Phone number: 317-842-1903
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