Michigan City Family Dentistry | |
332 Dunes Plz Michigan City IN 46360-7342 | |
(219) 871-7171 | |
(219) 871-0603 |
Full Name | Michigan City Family Dentistry |
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Speciality | Dentist - Periodontics |
Location | 332 Dunes Plz, Michigan City, Indiana |
Authorized Official Name and Position | Creshinda Denise Ayangade (DENTIST) |
Authorized Official Contact | 2198717171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michigan City Family Dentistry 332 Dunes Plz Michigan City IN 46360-7342 Ph: (219) 871-7171 | Michigan City Family Dentistry 332 Dunes Plz Michigan City IN 46360-7342 Ph: (219) 871-7171 |
NPI Number | 1124221833 |
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Provider Enumeration Date | 06/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124221833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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