Individual
MR. ELIAS ARTHUR MACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9150 E. 109TH AVE. STE. B, CROWN POINT, IN 46307
(219) 661-5085
(219) 661-5087
Mailing address
9150 E. 109TH AVE. STE. 3B, CROWN POINT, IN 46307
(219) 576-7958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013217A
IN
Other
Enumeration date
08/07/2019
Last updated
07/21/2023
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