Organization
EASTMAN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GANG (FRONT OFFICE)
(219) 836-2092
Entity
Organization
Contact information
Practice address
9335 CALUMET AVE, SUITE A, MUNSTER, IN 46321-4175
(219) 836-2092
(219) 836-9501
Mailing address
9335 CALUMET AVE, SUITE A, MUNSTER, IN 46321-4175
(219) 836-2092
(219) 836-9501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011539A
IN
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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