Organization
B AND B DENTAL GROUP, LLC D/B/A KESSLER FAMILY DENTAL AND ASSOCIATES
Active
Parent organization
COMPTON AND BROOMHEAD DENTAL CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPTON AND BROOMHEAD DENTAL CENTER, LLC
Authorized official
DR. ELIAS ARTHUR MACIS DMD (DENTIST)
(219) 308-2694
Entity
Organization
Contact information
Practice address
9161 E 109TH AVE, CROWN POINT, IN 46307-8677
(219) 576-7958
Mailing address
9161 E 109TH AVE, CROWN POINT, IN 46307-8677
(219) 576-7958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
08/06/2019
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