Individual
AMY J WADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9307 CALUMET AVE, D2, MUNSTER, IN 46321-2891
(219) 836-2910
Mailing address
9307 CALUMET AVE, D2, MUNSTER, IN 46321-2891
(219) 836-2910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009926A
IN
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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