Organization
5TH AVE DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT SAPARIA D.D.S. (PRESIDENT)
(708) 359-2068
Entity
Organization
Contact information
Practice address
1619 W 5TH AVE, GARY, IN 46404-1506
(708) 359-2068
Mailing address
814 W CHICAGO AVE, EAST CHICAGO, IN 46312-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011381
IN
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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