| Angel Smiles Dental Pc | |
|
8159 E 109th Ave Crown Point IN 46307-8613 | |
| (219) 663-6077 | |
| Not Available |
| Full Name | Angel Smiles Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 8159 E 109th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Tarek Hakam Safadi (PRESIDENT) |
| Authorized Official Contact | 2198058545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Smiles Dental Pc 8159 E 109th Ave Crown Point IN 46307-8613 Ph: () - | Angel Smiles Dental Pc 8159 E 109th Ave Crown Point IN 46307-8613 Ph: (219) 663-6077 |
| NPI Number | 1366731051 |
|---|---|
| Provider Enumeration Date | 04/03/2011 |
| Last Update Date | 04/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366731051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011468A (Indiana) | Primary |
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