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MARK H. KOWAL, DDS & VERA ANDJELKOVIC, DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERA ANDJELKOVIC D.D.S. (DENTIST)
(219) 661-1119
Entity
Organization

Contact information

Practice address
11045 BROADWAY, SUITE C, CROWN POINT, IN 46307-7473
(219) 661-1119
(219) 661-1122
Mailing address
11045 BROADWAY AVE., SUITE C, CROWN POINT, IN 46307-7474
(219) 661-1119
(219) 661-1122

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008640
IN

Other

Enumeration date
12/26/2007
Last updated
12/26/2007
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