| Familia Dental Gary Pllc | |
|
1320 Broadway Gary IN 46407-1309 | |
| (888) 988-4066 | |
| (847) 496-7603 |
| Full Name | Familia Dental Gary Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Koushan Azad (PRESIDENT) |
| Authorized Official Contact | 8889884066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental Gary Pllc 2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 Ph: (888) 988-4066 | Familia Dental Gary Pllc 1320 Broadway Gary IN 46407-1309 Ph: (888) 988-4066 |
| NPI Number | 1770994121 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770994121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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