NPI Provider: 1497957849
Contact Name: Wardak Ajmal
Position: Dentist
Phone: (219) 513-0555
Urgentdent Information:
Urgentdent organization have npi 1497957849, taxonomy code is 261QD0000X with license number is 12010375A in . This Business address located in 9352 Calumet Ave, Munster, IN 46321 Indiana.
Practice Location
Address: 9352 Calumet Ave, Munster, IN 46321
Phone: (219) 513-0555
Business Location
Address: 9352 Calumet Ave, Munster, IN 46321
Phone: (219) 513-0555
Fax: (219) 513-0666
Taxonomy
Taxonomy Code: 261QD0000X
License Number: 12010375A
License Number of State: IN
Primary Taxonomy Switch: Y
Enumeration Date: 6/5/2007
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