Individual
DR. GERALD WAYNE CHILDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6 W LINCOLN HWY, MERRILLVILLE, IN 46410-5446
(219) 472-2275
Mailing address
1121 ORIOLE DR, MUNSTER, IN 46321-3030
(219) 381-0026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013543A
IN
Other
Enumeration date
04/30/2020
Last updated
02/18/2021
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