|Entity Type||Healthcare Provider|
|Active||Over 2 years ago|
|1619 W 5TH AVE
GARY IN, 46404-1506, US
|814 W CHICAGO AVE
EAST CHICAGO IN, 46312-3307, US
|Remove 1396136511 NPI Number|
According to our database, 5th Ave Dental Inc. NPI is 1396136511, taxonomy code is 1223G0001X and license number is 12011381, license state is located at Indiana. 5th Ave Dental Inc. physically located at 1619 W 5th Ave, Gary IN, 46404-1506. NPI Number 1033115704 has the healthcare provider type.
1396136511 NPI number is provided on an as is basis without warranty of any kind. 1396136511 is maintained by the National Plan & Provider Enumeration System. The contents of 5th Ave Dental Inc. are for informational purposes only.