Lake Park Dental Group

NPI #1396475257 in Hobart, Indiana

Provider Information

NPI Number: 1396475257
Entity Type: Organization
Organization Name: Lake Park Dental Group
Primary Specialty: Dentist
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 7855 GRAND BLVD
City: Hobart
State: Indiana
ZIP Code: 46342-6665
Phone: (219) 942-4473

Authorized Official

Name: DR. MARCUS WILLIAM MALCZEWSKI, DDS
Title: PRESIDENT
Phone: (219) 942-4473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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