Organization
WHITE ORCHID DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M BOGOLIA (OFFICE MANAGER)
(219) 836-9122
Entity
Organization
Contact information
Practice address
548 RIDGE ROAD, SUITE A, MUNSTER, IN 46321-1722
(219) 836-9122
(219) 836-9123
Mailing address
548 RIDGE ROAD, SUITE A, MUNSTER, IN 46321-1722
(219) 836-9122
(219) 836-9123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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