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Organization

PREMIER DENTAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN D COPPES DDS (PRESIDENT)
(219) 736-2273
Entity
Organization

Contact information

Practice address
7891 BROADWAY, STE C, MERRILLVILLE, IN 46410
(219) 736-2273
(219) 769-5233
Mailing address
7891 BROADWAY, STE C, MERRILLVILLE, IN 46410
(219) 736-2273

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
08/23/2006
Last updated
09/22/2008
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