Dustin Durnell

NPI #1528550688 in South Bend, Indiana

Provider Information

NPI Number: 1528550688
Entity Type: Individual
Name: Dustin Durnell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2018
Last Updated: May 31, 2023

Practice Location

Address: 17490 STATE ROAD 23
City: South Bend
State: Indiana
ZIP Code: 46635-1743
Phone: (574) 271-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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