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DETAILED DENTAL

Dentist

NPI: 1215267661Organization

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

12011020(IN)

Contact & Hours

Address
13963 MORSE ST, SUITE A
CEDAR LAKE, IN 46303

Quick Facts

NPI
1215267661
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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