| Lake Park Dental Group | |
|
7855 Grand Blvd Hobart IN 46342-6665 | |
| (219) 942-4473 | |
| Not Available |
| Full Name | Lake Park Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 7855 Grand Blvd, Hobart, Indiana |
| Authorized Official Name and Position | Marcus William Malczewski (PRESIDENT) |
| Authorized Official Contact | 2199424473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Park Dental Group 7855 Grand Blvd Hobart IN 46342-6665 Ph: (219) 942-4473 | Lake Park Dental Group 7855 Grand Blvd Hobart IN 46342-6665 Ph: (219) 942-4473 |
| NPI Number | 1396475257 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396475257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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