Advanced Dental

NPI #1528118148 in Dyer, Indiana

Provider Information

NPI Number
1528118148
Entity Type
Organization
Organization Name
Advanced Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
15285 W 101ST AVE
Address 2
SUITE H
City
Dyer
State
Indiana
ZIP Code
46311-3035
Phone
(219) 365-5420

Authorized Official

Name
MRS. MARIE IRMA GAMBETTA
Title
SECRETARY
Phone
(219) 923-3391

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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