Organization
URGENTDENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJMAL WARDAK (DENTIST)
(219) 513-0555
Entity
Organization
Contact information
Practice address
9352 CALUMET AVE, MUNSTER, IN 46321-2810
(219) 513-0555
(219) 513-0666
Mailing address
9352 CALUMET AVE, MUNSTER, IN 46321-2810
(219) 513-0555
(219) 513-0666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010375A
IN
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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