Organization · Type 2 NPI
Lynn E Gassoway,dds,inc
Dental Clinic/Center · Gary, IN
NPI number
1104039510
Active
Practice location
8412 Maple Ave
Gary, IN 46403-1419
Fax (219) 938-2875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 12007149 (IN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1104039510
Lynn E Gassoway,dds,inc's National Provider Identifier is 1104039510, issued on May 8, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gary, IN. The record was last updated on Aug 22, 2020.