Individual
ANNICK ISHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3506 VILLAGE CT, GARY, IN 46408-1428
(219) 985-3133
Mailing address
750 MORNINGSIDE CT, CROWN POINT, IN 46307-5048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014505A
IN
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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