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Organization
VALERIE HAUGHTINGTON, DDS PC
Active
Organization
VALERIE HAUGHTINGTON, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HAUGHTINGTON (OWNER/DENTIST)
(219) 872-2110
Entity
Organization
Contact information
Practice address
1200 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7383
(219) 872-2110
Mailing address
1200 S WOODLAND AVE, MICHIGAN CITY, IN 46360-7383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009354
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376490B
—
IN
Enumeration date
09/08/2015
Last updated
09/08/2015
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