| Leonard F. Anglis | |
|
1549 S Court St Crown Point IN 46307-4809 | |
| (219) 226-9380 | |
| (219) 226-9381 |
| Full Name | Leonard F. Anglis |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1549 S Court St, Crown Point, Indiana |
| Authorized Official Name and Position | Leonard F Anglis (OWNER) |
| Authorized Official Contact | 2192269380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard F. Anglis 1549 S Court St Crown Point IN 46307-4809 Ph: (219) 226-9380 | Leonard F. Anglis 1549 S Court St Crown Point IN 46307-4809 Ph: (219) 226-9380 |
| NPI Number | 1891055968 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891055968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007805B (Indiana) | Primary |
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