# CARLA K. BRINK, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326571027
- **Authorized official:** CARLA K BRINK D.D.S. (OWNER)
- **Authorized official phone:** (219) 996-3311

## Contact information

- **Practice address:** 56 NICHOLS ST, HEBRON, IN 46341-8774
- **Practice address phone:** (219) 996-3311
- **Practice address fax:** (219) 996-6711
- **Mailing address:** 56 NICHOLS ST, HEBRON, IN 46341-8774
- **Mailing address phone:** (219) 996-3311
- **Mailing address fax:** (219) 996-6711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009700A | IN | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017