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1801410931
BRIANA MICHELLE MADDOX
LAFAYETTE, IN
NPI
1801410931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12013379A)
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
Dr. BRIANA MICHELLE MADDOX DDS
35 S CREASY LN STE 3
LAFAYETTE, IN 47905-5254
Phone number: 654-460-0427
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Mailing Address
Dr. BRIANA MICHELLE MADDOX DDS
802 W 625 S
LAFAYETTE, IN 47909-8942
Phone number: 765-491-1399
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