Organization
DENTAL CENTER (MERRILLVILLE) P.C.
Active
Organization
DENTAL CENTER (MERRILLVILLE) P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
155 W 86TH AVE STE A, MERRILLVILLE, IN 46410-6192
(219) 685-8665
Mailing address
155 W 86TH AVE STE A, MERRILLVILLE, IN 46410-6192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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