HEALTHY SMILES NWI
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1003172008- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4629 MELTON RD., GARY, IN, 46403
- Phone
- (219) 938-2637
- Fax
- (219) 938-6338
Specialties & Taxonomies
Dentist, General Practice
Primary License: IN #12011235a