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Organization

THE DENTISTS AT GATEWAY CROSSING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW VOGT DDS (OWNER)
(724) 272-8228
Entity
Organization

Contact information

Practice address
6621 W BROADWAY STE 600, MCCORDSVILLE, IN 46055-8811
(317) 589-0495
Mailing address
1615 N COLLEGE AVE APT 1, INDIANAPOLIS, IN 46202-1748
(724) 272-8228

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012701A
IN

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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