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1770994121
FAMILIA DENTAL GARY PLLC
GARY, IN
NPI
1770994121
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Entity Type
Organization
Authorized Contact
KOUSHAN AZAD
President
888-988-4066
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2014-05-19
Last Update Date
2014-10-22
Business Address
FAMILIA DENTAL GARY PLLC
1320 BROADWAY
GARY, IN 46407-1309
Phone number: 888-988-4066
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Mailing Address
FAMILIA DENTAL GARY PLLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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