| Dental Affiliates Inc | |
|
175 E Us Highway 20 Suite 8 Chesterton IN 46304 | |
| (219) 983-1940 | |
| Not Available |
| Full Name | Dental Affiliates Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 175 E Us Highway 20, Chesterton, Indiana |
| Authorized Official Name and Position | Joseph Arch (REGISTERED AGENT) |
| Authorized Official Contact | 2199831940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Affiliates Inc 175 E Us Highway 20 Suite 8 Chesterton IN 46304 Ph: () - | Dental Affiliates Inc 175 E Us Highway 20 Suite 8 Chesterton IN 46304 Ph: (219) 983-1940 |
| NPI Number | 1558591834 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558591834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008672 (Indiana) | Primary |
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