Organization
GARY PEDIATRIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDETTE MUNYABERA DDS (PEDIATRIC DENTIST)
(269) 267-8033
Entity
Organization
Contact information
Practice address
3506 VILLAGE CT, GARY, IN 46408-1428
(269) 267-8033
Mailing address
3506 VILLAGE COURT, GARY, IN 46408
(269) 267-8033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011737A
IN
1223P0221X
Pediatric Dentistry
Primary
12011737A
IN
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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