Individual
DR. SIMON GEORGE ABU-AITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
698 E BURRELL DR, CROWN POINT, IN 46307-9000
(219) 662-7668
Mailing address
10209 SAINT JAMES CT, MUNSTER, IN 46321-4394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013847A
IN
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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