| Dental 360 Dyer Llc | |
|
890 Richard Rd Dyer IN 46311-1779 | |
| (219) 322-1326 | |
| Not Available |
| Full Name | Dental 360 Dyer Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 890 Richard Rd, Dyer, Indiana |
| Authorized Official Name and Position | Ivana Bueno (DIRECTOR) |
| Authorized Official Contact | 7737989382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Dyer Llc 890 Richard Rd Dyer IN 46311-1779 Ph: () - | Dental 360 Dyer Llc 890 Richard Rd Dyer IN 46311-1779 Ph: (219) 322-1326 |
| NPI Number | 1316713290 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316713290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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