Organization
NIKKI WARGO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKKI ANN WARGO DDS (PRESIDENT)
(219) 756-6214
Entity
Organization
Contact information
Practice address
1452 E 85TH AVE, MERRILLVILLE, IN 46410-8905
(219) 756-6214
(219) 756-6214
Mailing address
1452 E 85TH AVE, MERRILLVILLE, IN 46410-8905
(219) 756-6214
(219) 756-6214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200490450
—
IN
Enumeration date
03/29/2007
Last updated
03/21/2013
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