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Organization

JOHN L. HAVLICK, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARA L. PRITCHARD (OFFICE MANAGER)
(219) 462-0780
Entity
Organization

Contact information

Practice address
1302 VALE PARK RD, VALPARAISO, IN 46383-2722
(219) 462-0780
(219) 464-0229
Mailing address
1302 VALE PARK RD, VALPARAISO, IN 46383-2722
(219) 462-0780
(219) 464-0229

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007779A
IN

Other

Enumeration date
04/16/2008
Last updated
04/16/2008
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