Dental Professionals of Indiana, P.c.

NPI #1205372356 in Mishawaka, Indiana

Provider Information

NPI Number
1205372356
Entity Type
Organization
Organization Name
Dental Professionals of Indiana, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 13, 2017
Last Updated
Jan 13, 2017

Practice Location

Address
330 PARK PL
State
Indiana
ZIP Code
46545-3555
Phone
(574) 259-9956

Authorized Official

Name
CASSANDRA TEUTSCH
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8972

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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