Organization
SMILES ON RANDOLPH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEE REMENIUS (ASSISTANT OFFICE MANAGER)
(219) 980-0319
Entity
Organization
Contact information
Practice address
8000 E LINCOLN HIGHWAY, MERRILLVILLE, IN 46410
(219) 769-6316
(219) 980-0379
Mailing address
6075 CLEVELAND CIR, MERRILLVILLE, IN 46410-2378
(219) 980-0319
(219) 980-0379
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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