Edgewood Dental, LLP
NPI #1124542139 in Michigan City, Indiana
Provider Information
- NPI Number
- 1124542139
- Entity Type
- Organization
- Organization Name
- Edgewood Dental, LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 1, 2017
- Last Updated
- Aug 1, 2017
Practice Location
- Address
- 3008 FRANKLIN ST
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-4636
- Phone
- (219) 872-2110
Authorized Official
- Name
- VALERIE HAUGHTINGTON, DDS
- Title
- PARTNER/DENTIST
- Phone
- (219) 872-2110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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