| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2037 Church St, Dyer, Indiana |
| Authorized Official Name and Position | Seth Andrew Tambrini (DENTIST -- PRESIDENT) |
| Authorized Official Contact | 3174183618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2037 Church St Dyer IN 46311-1729 Ph: (219) 865-5040 | 2037 Church St Dyer IN 46311-1729 Ph: (219) 865-5040 |
| NPI Number | 1174799845 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174799845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010864A (Indiana) | Primary |
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