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Individual

DR. TERRENCE SCOTT MCDERMOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
13315 LINCOLN PLAZA, CEDAR LAKE, IN 46303
(219) 374-7213
Mailing address
PO BOX 358, CEDAR LAKE, IN 46303-0358
(219) 374-7213

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7883
IN

Other

Enumeration date
09/06/2007
Last updated
05/07/2008
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