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Organization
THE DENTISTS AT GATEWAY CROSSING LLC
Active
Organization
THE DENTISTS AT GATEWAY CROSSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW VOGT DDS (OWNER)
(724) 272-8228
Entity
Organization
Contact information
Practice address
6621 W BROADWAY STE 600, MCCORDSVILLE, IN 46055-8811
(317) 589-0495
Mailing address
1615 N COLLEGE AVE APT 1, INDIANAPOLIS, IN 46202-1748
(724) 272-8228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012701A
IN
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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