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Organization

DENTAL ARTS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J UZELAC DDS (MANAGING MEMBER)
(219) 464-8532
Entity
Organization

Contact information

Practice address
850 MARSH ST, SUITE A, VALPARAISO, IN 46385-6239
(219) 464-8532
(219) 548-8842
Mailing address
850 MARSH ST, SUITE A, VALPARAISO, IN 46385-6239
(219) 464-8532
(219) 548-8842

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008155A
IN

Other

Enumeration date
06/19/2014
Last updated
08/21/2014
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