Organization
PUNTILLO ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MYERS PUNTILLO D.D.S., M.S.D (PRESIDENT)
(219) 662-2264
Entity
Organization
Contact information
Practice address
1539 SOUTH COURT ST, CROWN POINT, IN 46307-4809
(219) 662-2264
(219) 662-2331
Mailing address
1539 SOUTH COURT ST, CROWN POINT, IN 46307-4809
(219) 662-2264
(219) 662-2331
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009367A
IN
Other
Enumeration date
03/20/2007
Last updated
03/19/2020
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