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Individual

ROLAND S. OUTARSINGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
548 RIDGE RD, SUITE G, MUNSTER, IN 46321-1649
(219) 836-0004
(219) 836-0446
Mailing address
548 RIDGE RD, SUITE G, MUNSTER, IN 46321-1649
(219) 836-0004
(219) 836-0446

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019-023546
IL
1223P0700X
Prosthodontics
Primary
12011162A
IN

Other

Enumeration date
02/04/2009
Last updated
02/12/2009
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