| Growing Smiles Pediatric Dentistry Pc | |
|
1111 Cumberland Xing Valparaiso IN 46383-2356 | |
| (219) 286-6148 | |
| (219) 286-6149 |
| Full Name | Growing Smiles Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 Cumberland Xing, Valparaiso, Indiana |
| Authorized Official Name and Position | Carisse M Corns (PRESIDENT) |
| Authorized Official Contact | 2135006789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Smiles Pediatric Dentistry Pc 1111 Cumberland Xing Valparaiso IN 46383-2356 Ph: (219) 286-6148 | Growing Smiles Pediatric Dentistry Pc 1111 Cumberland Xing Valparaiso IN 46383-2356 Ph: (219) 286-6148 |
| NPI Number | 1447664404 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447664404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12011775A (Indiana) | Primary |
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