Endodontics Inc | |
911 Wall Street Valparaiso IN 46383 | |
(219) 462-8424 | |
Not Available |
Full Name | Endodontics Inc |
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Speciality | Dentist - Endodontics |
Location | 911 Wall Street, Valparaiso, Indiana |
Authorized Official Name and Position | Harry Gene Frank (VICE PRESIDENT) |
Authorized Official Contact | 2194628424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Endodontics Inc 911 Wall Street Valparaiso IN 46383 Ph: (219) 462-8424 | Endodontics Inc 911 Wall Street Valparaiso IN 46383 Ph: (219) 462-8424 |
NPI Number | 1235260530 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235260530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 54000095A (Indiana) | Primary |
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