Organization
MADE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PALLOTTO DDS (OWNER)
(708) 228-8224
Entity
Organization
Contact information
Practice address
2213 MAIN ST UNIT 2B, HIGHLAND, IN 46322-3514
(219) 258-7076
Mailing address
2213 MAIN ST UNIT 2B, HIGHLAND, IN 46322-3514
(219) 258-7076
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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