Detailed Dental

NPI #1215267661 in Cedar Lake, Indiana

Provider Information

NPI Number
1215267661
Entity Type
Organization
Organization Name
Detailed Dental
Primary Specialty
Dentist
Enumeration Date
Jan 7, 2010
Last Updated
Jan 7, 2010

Practice Location

Address
13963 MORSE ST
State
Indiana
ZIP Code
46303-9639
Phone
(219) 374-2400

Authorized Official

Name
CHRISTINE GUDAS
Title
OWNER
Phone
(219) 374-2400

Specialties & Taxonomy Codes

Specialty
Dentist

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Individual Providers

Provider Name
Christine J Gudas, DDSNewBizBotAI Deep Dive
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Organizations

Provider Name
Moody Dental LLCNewBizBotAI Deep Dive
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