Individual
DR. KEARY ALLEN BEWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5019 CENTRAL AVE, LAKE STATION, IN 46405-2522
(219) 962-4200
(219) 962-3149
Mailing address
5019 CENTRAL AVE, LAKE STATION, IN 46405-2522
(219) 962-4200
(219) 962-3149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN8247
IN
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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