| Valparaiso Family Dentistry Pc | |
|
2005 Roosevelt Rd Suite B Valparaiso IN 46383-2746 | |
| (219) 531-9293 | |
| (219) 531-0537 |
| Full Name | Valparaiso Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2005 Roosevelt Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Robert James Behrend (PRESIDENT) |
| Authorized Official Contact | 2195319293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valparaiso Family Dentistry Pc 2005 Roosevelt Rd Suite B Valparaiso IN 46383-2746 Ph: (219) 531-9293 | Valparaiso Family Dentistry Pc 2005 Roosevelt Rd Suite B Valparaiso IN 46383-2746 Ph: (219) 531-9293 |
| NPI Number | 1093874638 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093874638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009847A (Indiana) | Primary |
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