# CROSSROADS FAMILY DENTAL

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

## Provider details

- **NPI number:** 1336855840
- **Authorized official:** CYNTHIA A GARZA ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (219) 865-4095

## Contact information

- **Practice address:** 1314 EAGLE RIDGE DR, SCHERERVILLE, IN 46375-1360
- **Practice address phone:** (219) 865-4095
- **Practice address fax:** (219) 865-4097
- **Mailing address:** 1314 EAGLE RIDGE DR, SCHERERVILLE, IN 46375-1360
- **Mailing address phone:** (219) 865-4095
- **Mailing address fax:** (219) 865-4097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2023
- **Last updated:** 01/27/2023