Organization
FAMILY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANBO SIM DDS (PRESIDENT)
(219) 980-0319
Entity
Organization
Contact information
Practice address
6075 CLEVELAND CIRCLE, MERRILLVILLE, IN 46410
(219) 980-0319
(219) 980-0379
Mailing address
6075 CLEVELAND CIRCLE, MERRILLVILLE, IN 46410
(219) 980-0319
(219) 980-0379
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009372A
IN
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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