Individual
TINA GREGORASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S CANAL ST, BROOK, IN 47922-8855
(765) 248-1280
Mailing address
300 S CANAL ST, BROOK, IN 47922-8855
(765) 248-1280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0730163516
IN
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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