The Dental Center of Mishawaka PC

NPI #1295940518 in Mishawaka, Indiana

Provider Information

NPI Number
1295940518
Entity Type
Organization
Organization Name
The Dental Center of Mishawaka PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 11, 2007
Last Updated
Jun 11, 2013

Practice Location

Address
112 IRONWORKS AVE
State
Indiana
ZIP Code
46544-2057
Phone
(574) 255-4964

Authorized Official

Name
MRS. REBECCA M NUKES, CREDENTIALING MGR
Title
BUSINESS MANAGER
Phone
(574) 245-7503

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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