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320 E Commercial Ave Lowell IN 46356-1780 | |
(219) 690-8866 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 320 E Commercial Ave, Lowell, Indiana |
Authorized Official Name and Position | Leah Thomas (DDS/OWNER) |
Authorized Official Contact | 2196146000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12372 Woodmar Pl Cedar Lake IN 46303-8060 Ph: (219) 614-6000 | 320 E Commercial Ave Lowell IN 46356-1780 Ph: (219) 690-8866 |
NPI Number | 1346978541 |
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Provider Enumeration Date | 08/15/2022 |
Last Update Date | 03/11/2023 |
Identifier | Type | State | Issuer |
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1346978541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |