# RIFAI DENTAL GROUP PC

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

## Provider details

- **NPI number:** 1528761632
- **Authorized official:** HADIE RIFAI DDS (OWNER)
- **Authorized official phone:** (219) 333-3368

## Contact information

- **Practice address:** 948 S COURT ST, CROWN POINT, IN 46307-4848
- **Practice address phone:** (219) 333-3368
- **Practice address fax:** (219) 335-3368
- **Mailing address:** 948 S COURT ST, CROWN POINT, IN 46307-4848
- **Mailing address phone:** (219) 333-3368
- **Mailing address fax:** (219) 335-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 03/27/2023