| Kool Smiles In-3, Pc | |
|
1021 W 5th Ave Gary IN 46402-1703 | |
| (800) 920-9947 | |
| Not Available |
| Full Name | Kool Smiles In-3, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1021 W 5th Ave, Gary, Indiana |
| Authorized Official Name and Position | David M. Vieth (SECRETARY/TREASURER) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Smiles In-3, Pc 400 Galleria Pkwy Se Ste 800 Atlanta GA 30339-6413 Ph: () - | Kool Smiles In-3, Pc 1021 W 5th Ave Gary IN 46402-1703 Ph: (800) 920-9947 |
| NPI Number | 1750606059 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750606059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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