Individual
DEMIANA ELGENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 N HALLECK ST, DEMOTTE, IN 46310-9542
(219) 293-8211
Mailing address
1005 N HALLECK ST, DEMOTTE, IN 46310-9542
(219) 293-8211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12015064A
IN
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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