# ETHOS DENTAL GROUP L.L.C.

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

## Provider details

- **NPI number:** 1770976433
- **Authorized official:** DR. MARC STOJKOVICH D.D.S. (PARTNER)
- **Authorized official phone:** (219) 627-4111

## Contact information

- **Practice address:** 1934 45TH STREET, MUNSTER, IN 46321
- **Practice address phone:** (219) 595-3432
- **Mailing address:** 1311 BEMIS HEIGHTS AVE, SCHERERVILLE, IN 46375-3054

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015