Select Dental Associates PC
NPI #1457850687 in South Bend, Indiana
Provider Information
- NPI Number
- 1457850687
- Entity Type
- Organization
- Organization Name
- Select Dental Associates PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 2, 2018
- Last Updated
- Feb 2, 2018
Practice Location
- Address
- 1422 LINCOLN WAY E
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46613-3250
- Phone
- (574) 232-8888
Authorized Official
- Name
- DOUGLAS J KOSEK, DDS
- Title
- OWNER
- Phone
- (574) 340-3423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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