Cedar Lake Dental Center, Inc.
NPI #1326126871 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1326126871
- Entity Type
- Organization
- Organization Name
- Cedar Lake Dental Center, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13955 MORSE ST
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303-9639
- Phone
- (219) 374-5591
Authorized Official
- Name
- DR. RICHARD DOUGLAS KAZWELL, D.D.S.
- Title
- PRESIDENT
- Phone
- (219) 374-5591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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