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Organization
MICHIGAN CITY FAMILY DENTISTRY
Active
Organization
MICHIGAN CITY FAMILY DENTISTRY
Active
Other names
Portage Dental Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRESHINDA DENISE AYANGADE DMD (DENTIST)
(219) 764-4004
Entity
Organization
Contact information
Practice address
6044 LUTE RD, PORTAGE, IN 46368-5008
(219) 764-4004
(219) 764-4031
Mailing address
6044 LUTE RD, PORTAGE, IN 46368-5008
(219) 764-4004
(219) 764-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
09/11/2025
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