Individual
DR. GARY ALLEN NONDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 464-9911
Mailing address
2001 ROOSEVELT RD, VALPARAISO, IN 46383-2746
(219) 464-9911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008012
IN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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