Kentland Family Dentistry

NPI #1366854143 in Kentland, Indiana

Provider Information

NPI Number: 1366854143
Entity Type: Organization
Organization Name: Kentland Family Dentistry
Primary Specialty: Dentist
Enumeration Date: May 28, 2014
Last Updated: May 28, 2014

Practice Location

Address: 310 E LINCOLN ST
City: Kentland
State: Indiana
ZIP Code: 47951-1135
Phone: (219) 474-5059

Authorized Official

Name: DR. MELINDA SUE BODINE, DDS
Title: ASSOCIATE
Phone: (219) 474-5059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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