Organization
ADVANCE DENTURES OF MICHIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LEMELIN (OFFICE MANAGER)
(574) 855-1364
Entity
Organization
Contact information
Practice address
311 FLORENCE AVE, GRANGER, IN 46530-8049
(574) 855-1364
(574) 314-5238
Mailing address
311 FLORENCE AVE, GRANGER, IN 46530-8049
(574) 855-1364
(574) 314-5238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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