| Toothland Llc | |
|
6414a Calumet Ave Hammond IN 46324-1207 | |
| (219) 803-6165 | |
| Not Available |
| Full Name | Toothland Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6414a Calumet Ave, Hammond, Indiana |
| Authorized Official Name and Position | Yusuf Fahmy (PRESIDENT) |
| Authorized Official Contact | 6303521547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toothland Llc 6414a Calumet Ave Hammond IN 46324-1207 Ph: (219) 803-6165 | Toothland Llc 6414a Calumet Ave Hammond IN 46324-1207 Ph: (219) 803-6165 |
| NPI Number | 1801464318 |
|---|---|
| Provider Enumeration Date | 06/12/2021 |
| Last Update Date | 06/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801464318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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