| Gary Pediatric & Family Dentistry | |
|
3506 Village Ct Gary IN 46408-1428 | |
| (269) 267-8033 | |
| Not Available |
| Full Name | Gary Pediatric & Family Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3506 Village Ct, Gary, Indiana |
| Authorized Official Name and Position | Claudette Munyabera (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2692678033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Pediatric & Family Dentistry 3506 Village Court Gary IN 46408 Ph: (269) 267-8033 | Gary Pediatric & Family Dentistry 3506 Village Ct Gary IN 46408-1428 Ph: (269) 267-8033 |
| NPI Number | 1841607231 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841607231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011737A (Indiana) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 12011737A (Indiana) | Primary |
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