Organization Name: | MARK DANKOWSKI, DMD PC |
NPI Number: | 1023354370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK DANKOWSKI (OWNER) |
Mailing Address: | 8080 Utah St Merrillville |
State: | IN US |
Postal Code: | 464106502 |
Phone Number: | 2199472581 |
Fax Number: | 2199474636 |
NPI Enumeration Date: | 12/13/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 12010869A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |