Michiana Dental Sleep, Llc.

NPI #1558518720 in Mishawaka, Indiana

Provider Information

NPI Number: 1558518720
Entity Type: Organization
Organization Name: Michiana Dental Sleep, Llc.
Primary Specialty: Dentist
Enumeration Date: Aug 19, 2008
Last Updated: May 12, 2009

Practice Location

Address: 301 E DAY RD
Address 2: SUITE 100
City: Mishawaka
State: Indiana
ZIP Code: 46545-3455
Phone: (574) 271-3198

Authorized Official

Name: SCOTT HEWITT
Title: PRESIDENT
Phone: (574) 271-3198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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