# ANGEL SMILES DENTAL PC

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

## Provider details

- **NPI number:** 1366731051
- **Authorized official:** TAREK HAKAM SAFADI D.D.S (PRESIDENT)
- **Authorized official phone:** (219) 805-8545

## Contact information

- **Practice address:** 8159 E 109TH AVE, CROWN POINT, IN 46307-8613
- **Practice address phone:** (219) 663-6077
- **Mailing address:** 8159 E 109TH AVE, CROWN POINT, IN 46307-8613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011468A | IN | Yes |

## Other

- **Enumeration date:** 04/03/2011
- **Last updated:** 04/03/2011