Organization
DENTAL AFFILIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ARCH (REGISTERED AGENT)
(219) 983-1940
Entity
Organization
Contact information
Practice address
175 E US HIGHWAY 20, SUITE 8, CHESTERTON, IN 46304
(219) 983-1940
Mailing address
175 E US HIGHWAY 20, SUITE 8, CHESTERTON, IN 46304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008672
IN
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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