| Lynn E Gassoway,dds,inc | |
|
8412 Maple Ave Gary IN 46403-1419 | |
| (219) 938-2875 | |
| (219) 938-2875 |
| Full Name | Lynn E Gassoway,dds,inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8412 Maple Ave, Gary, Indiana |
| Authorized Official Name and Position | Lynn Elise Gassoway (PRESIDENT) |
| Authorized Official Contact | 2199382875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn E Gassoway,dds,inc 8412 Maple Ave Gary IN 46403-1419 Ph: (219) 938-2875 | Lynn E Gassoway,dds,inc 8412 Maple Ave Gary IN 46403-1419 Ph: (219) 938-2875 |
| NPI Number | 1104039510 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104039510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007149 (Indiana) | Primary |
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