Individual
DR. TAREK HAKAM SAFADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8159 E 109TH AVE, CROWN POINT, IN 46307-8613
(219) 805-8545
Mailing address
209 REGENCY CT, VALPARAISO, IN 46385-8072
(219) 805-8545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028274
IL
Other
Enumeration date
05/26/2010
Last updated
06/07/2012
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