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NPI Code Detail

MEDICARE: DR. CYNTHIA ANNE PISTOIA DMD

MEDICARE: DR. CYNTHIA ANNE PISTOIA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12009388AIN

General Provider Information

NPI Number : 1437289337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA ANNE PISTOIA DMD
Provider Business Mailing Address
First Line : 1015 SUMMER HL
Second Line :
City : CARMEL
State : IN
Zip : 46032-9208
Country : US
Telephone Number : 317-846-4031
Fax Number :
Provider Business Practice Location Address
First Line : 9905 ALLISONVILLE RD
Second Line :
City : FISHERS
State : IN
Zip : 46038-2006
Country : US
Telephone Number : 317-849-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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