Individual
DR. ROBERT KYLE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 WALL ST, SUITE A, VALPARAISO, IN 46383-2564
(219) 476-4110
(219) 476-2042
Mailing address
800 WALL ST, SUITE A, VALPARAISO, IN 46383-2564
(219) 476-4110
(219) 476-9042
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010044A
IN
Other
Enumeration date
08/03/2006
Last updated
07/23/2010
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