Organization
DENTAL 360 DYER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANA BUENO (DIRECTOR)
(773) 798-9382
Entity
Organization
Contact information
Practice address
890 RICHARD RD, DYER, IN 46311-1779
(219) 322-1326
Mailing address
890 RICHARD RD, DYER, IN 46311-1779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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