Michiana Oral &maxillofacial Surgery LLC
NPI #1093775272 in South Bend, Indiana
Provider Information
- NPI Number
- 1093775272
- Entity Type
- Organization
- Organization Name
- Michiana Oral &maxillofacial Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 23, 2006
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- 707 N MICHIGAN ST
- Address 2
- SUITE 300
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46601-1070
- Phone
- (574) 289-0080
Authorized Official
- Name
- BERNARD J ASDELL, DDS
- Title
- OWNER
- Phone
- (574) 289-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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