Organization
OAK RIDGE DENTAL & SURGERY, LLC
Active
Parent organization
OAK RIDGE DENTAL & SURGERY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK RIDGE DENTAL & SURGERY, LLC
Authorized official
DR. MUZAFFAR M SHAH-KHAN DDS (CEO/OWNER)
(219) 285-3016
Entity
Organization
Contact information
Practice address
5815 CALUMET AVE, HAMMOND, IN 46320-2352
(219) 285-3016
Mailing address
5815 CALUMET AVE, HAMMOND, IN 46320-2352
(219) 285-3016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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