| Indiana Dental Associates | |
|
1901 Grant St Gary IN 46404-2761 | |
| (219) 880-1430 | |
| (219) 239-2197 |
| Full Name | Indiana Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1901 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Lucia Gamino (GENERAL MANAGER) |
| Authorized Official Contact | 7735307550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Dental Associates 1600 E 93rd St Chicago IL 60617-3607 Ph: (773) 530-7550 | Indiana Dental Associates 1901 Grant St Gary IN 46404-2761 Ph: (219) 880-1430 |
| NPI Number | 1548037278 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548037278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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