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Organization

MICHIGAN CITY FAMILY DENTISTRY

Active
Other names
Portage Dental Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRESHINDA DENISE AYANGADE DMD (DENTIST)
(219) 764-4004
Entity
Organization

Contact information

Practice address
6044 LUTE RD, PORTAGE, IN 46368-5008
(219) 764-4004
(219) 764-4031
Mailing address
6044 LUTE RD, PORTAGE, IN 46368-5008
(219) 764-4004
(219) 764-4031

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223P0300X
Periodontics
Primary

Other

Enumeration date
06/08/2007
Last updated
09/11/2025
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