MEDICARE: ISABELA AGUIRRE

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
1	122300000X	Dentist	2020021496	MO
2	122300000X	Dentist	12013719A	IN

General Provider Information

NPI Number	:	1932717667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELA AGUIRRE

Provider Business Mailing Address
First Line	:	14139 TOWN CENTER BLVD STE 200
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-3368
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14139 TOWN CENTER BLVD STE 200
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-3368
Country	:	US
Telephone Number	:	317-773-9992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	09/23/2022

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Directions to “ ISABELA AGUIRRE ” Practice Location

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