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Organization

JAMES R. MCCORMICK DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES R. MCCORMICK (OWNER)
(219) 872-9151
Entity
Organization

Contact information

Practice address
1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319
(219) 872-9151
Mailing address
1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6319

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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