Organization
LAKE PARK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS WILLIAM MALCZEWSKI DDS (PRESIDENT)
(219) 942-4473
Entity
Organization
Contact information
Practice address
7855 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-4473
Mailing address
7855 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-4473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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