Organization
RELIABLE DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDELL E POTTS (OWNER)
(219) 962-3000
Entity
Organization
Contact information
Practice address
2370 E 37TH AVE, LAKE STATION, IN 46405-2802
(219) 962-3000
(219) 962-9371
Mailing address
2370 E 37TH AVE, LAKE STATION, IN 46405-2802
(219) 962-3000
(219) 962-9371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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