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Organization
MERRILLVILLE DENTAL CENTER INC.
Active
Organization
MERRILLVILLE DENTAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOHN KAMP DMD MS (OWNER)
(219) 333-6166
Entity
Organization
Contact information
Practice address
303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
(219) 755-0045
Mailing address
303 W 89TH AVE STE E2, MERRILLVILLE, IN 46410-6295
(219) 755-0045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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