FAMILIA DENTAL GARY PLLC

GARY, IN
NPI1770994121
Entity TypeOrganization
Authorized ContactKOUSHAN AZAD
President
888-988-4066
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2014-05-19
Last Update Date2014-10-22
Business Address
FAMILIA DENTAL GARY PLLC
1320 BROADWAY
GARY, IN 46407-1309
Phone number: 888-988-4066
Mailing Address
FAMILIA DENTAL GARY PLLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066