| Maple City Dentistry, Inc | |
|
1011 Michigan Ave La Porte IN 46350-3584 | |
| (219) 362-1101 | |
| Not Available |
| Full Name | Maple City Dentistry, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 Michigan Ave, La Porte, Indiana |
| Authorized Official Name and Position | Valerie Martinsen Seifert (PRESIDENT/CEO) |
| Authorized Official Contact | 2193621101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple City Dentistry, Inc 1011 Michigan Ave La Porte IN 46350-3584 Ph: (219) 362-1101 | Maple City Dentistry, Inc 1011 Michigan Ave La Porte IN 46350-3584 Ph: (219) 362-1101 |
| NPI Number | 1922662204 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922662204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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