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Lynn E Gassoway,dds,inc
Dental Clinic/Center in Gary, Indiana
NPI 1104039510

Lynn E Gassoway,dds,inc is a Dental Clinic/Center based in Gary, IN and is specialized in Dental. Lynn E Gassoway,dds,inc practices in Gary, IN. The NPI Number for Lynn E Gassoway,dds,inc is 1104039510 and holds a License No. 12007149 (Indiana).

The current practice location address for Lynn E Gassoway,dds,inc is 8412 Maple Ave, Gary, IN and can be reached out via phone at 219-938-2875 and via fax at 219-938-2875.

Location: 8412 Maple Ave, Gary, IN, 46403-1419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104039510
Provider Name
Lynn E Gassoway,dds,inc
Credential
Provider Entity Type
Organization
Address
8412 Maple Ave, Gary, IN, 46403-1419
Phone Number
219-938-2875
Fax Number
219-938-2875
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8412 Maple Ave
City
Gary
State
Indiana
Zip
46403-1419
Phone Number
219-938-2875
Fax Number
219-938-2875
person
Provider Business Mailing Address Details
Address
8412 Maple Ave
City
Gary
State
Indiana
Zip
46403-1419
Phone Number
219-938-2875
Fax Number
219-938-2875
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
12007149 (Indiana)
Definition
Definition to come...
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