Organization
ANGEL SMILES DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK HAKAM SAFADI D.D.S (PRESIDENT)
(219) 805-8545
Entity
Organization
Contact information
Practice address
8159 E 109TH AVE, CROWN POINT, IN 46307-8613
(219) 663-6077
Mailing address
8159 E 109TH AVE, CROWN POINT, IN 46307-8613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011468A
IN
Other
Enumeration date
04/03/2011
Last updated
04/03/2011
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