Organization
ASSOCIATED DENTISTS OF NORTHWEST INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MATILDA PEREZ (OFFICE MANAGER PRESIDENT)
(219) 769-6444
Entity
Organization
Contact information
Practice address
500 WEST LINCOLN HWY, SUITE N, MERRILLVILLE, IN 46410
(219) 769-6444
(219) 755-4790
Mailing address
500 WEST LINCOLN HWY, SUITE N, MERRILLVILLE, IN 46410
(219) 769-6444
(219) 755-4790
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12008668A
IN
1223E0200X
Endodontics
12009309A
IN
1223E0200X
Endodontics
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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