Individual
JOSEPH DEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8165 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 836-0888
Mailing address
8165 CALUMET AVE, MUNSTER, IN 46321-1701
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013016A
IN
Other
Enumeration date
06/30/2020
Last updated
08/27/2020
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