Organization
HAMMOND DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN HOFFMAN DDS (OWNER)
(773) 820-2587
Entity
Organization
Contact information
Practice address
3109 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(773) 820-2587
Mailing address
3109 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(773) 820-2587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011898B
IN
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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