Transitions Dental Company

NPI #1518220946 in Mishawaka, Indiana

Provider Information

NPI Number: 1518220946
Entity Type: Organization
Organization Name: Transitions Dental Company
Subpart: Yes (part of a larger organization)
Parent Organization: TRANSITIONS DENTAL COMPANY
Primary Specialty: Dentist
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 6502 GRAPE RD
Address 2: SUITE 882
City: Mishawaka
State: Indiana
ZIP Code: 46545-1102
Phone: (574) 698-3719

Authorized Official

Name: KARRI KRUEGER
Title: VICE PRESIDENT
Phone: (765) 807-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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