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Organization
SMILE ZONE PERIODONTICS LLC.
Active
Organization
SMILE ZONE PERIODONTICS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA MENDEZ (RECEPTIONIST)
(219) 966-9600
Entity
Organization
Contact information
Practice address
8731 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-1551
(219) 966-9600
Mailing address
8731 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-1551
(219) 966-9600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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