Indiana University Northwest

NPI #1912067349 in Gary, Indiana

Provider Information

NPI Number
1912067349
Entity Type
Organization
Organization Name
Indiana University Northwest
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Dec 8, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
3400 BROADWAY
City
Gary
State
Indiana
ZIP Code
46408-1101
Phone
(219) 980-6772

Authorized Official

Name
MRS. CINDY ZAK, CDA
Title
CLINIC MANAGER
Phone
(219) 980-6772

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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