Individual
DR. JOHN L. HAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1302 VALE PARK RD, VALPARAISO, IN 46383-2722
(219) 462-0780
(219) 464-0229
Mailing address
1302 VALE PARK RD, VALPARAISO, IN 46383-2722
(219) 462-0780
(219) 464-0229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007779A
IN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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