Individual
VIRGIL GASSOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 S CALUMET RD, CHESTERTON, IN 46304-3218
(219) 926-1700
Mailing address
605 S CALUMET RD, CHESTERTON, IN 46304-3218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006941A
IN
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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