Organization
NWI ORTHODONTICS, INC.
Active
Other names
Orthodontics, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. KOUFOS D.D.S. (SECRETARY)
(219) 922-7257
Entity
Organization
Contact information
Practice address
1630 45TH STREET, MUNSTER, IN 46321-3963
(219) 922-7257
(219) 922-7258
Mailing address
1630 45TH STREET, MUNSTER, IN 46321-3963
(219) 922-7257
(219) 922-7258
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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