Heather Ireland X

NPI #1275577801 in Marion, Indiana

Provider Information

NPI Number: 1275577801
Entity Type: Individual
Name: Heather Ireland X
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1251 W KEM RD
Address 2: SUITE G
City: Marion
State: Indiana
ZIP Code: 46952-2561
Phone: (765) 664-5164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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