Individual
INDRE GENEVICIUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1519 US HIGHWAY 41 STE B8, SCHERERVILLE, IN 46375-1373
(219) 319-0108
Mailing address
12807 FALCON CT, LEMONT, IL 60439-7300
(708) 668-8840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014140A
IN
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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