Organization
HAMMOND DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN WILLIAM HOFFMAN D.D.S. (PRESIDENT)
(219) 595-9566
Entity
Organization
Contact information
Practice address
6414 CALUMET AVE, HAMMOND, IN 46324
(219) 595-9566
Mailing address
6414 CALUMET AVE, HAMMOND, IN 46324
(219) 595-9566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011898A
IN
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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