# MARK H. KOWAL, DDS & VERA ANDJELKOVIC, DDS

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

## Provider details

- **NPI number:** 1770767816
- **Authorized official:** DR. VERA ANDJELKOVIC D.D.S. (DENTIST)
- **Authorized official phone:** (219) 661-1119

## Contact information

- **Practice address:** 11045 BROADWAY, SUITE C, CROWN POINT, IN 46307-7473
- **Practice address phone:** (219) 661-1119
- **Practice address fax:** (219) 661-1122
- **Mailing address:** 11045 BROADWAY AVE., SUITE C, CROWN POINT, IN 46307-7474
- **Mailing address phone:** (219) 661-1119
- **Mailing address fax:** (219) 661-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008640 | IN | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 12/26/2007