Individual
LYNN E GASSOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8412 MAPLE AVE, GARY, IN 46403
(219) 938-2875
(216) 938-2875
Mailing address
8412 MAPLE AVE, GARY, IN 46403
(219) 938-2875
(216) 938-2875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007149
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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