Affiliated Family Dentists PC

NPI #1760527592 in Mishawaka, Indiana

Provider Information

NPI Number: 1760527592
Entity Type: Organization
Organization Name: Affiliated Family Dentists PC
Primary Specialty: Dentist
Enumeration Date: Feb 20, 2007
Last Updated: Jan 24, 2011

Practice Location

Address: 605 W DOUGLAS ROAD
City: Mishawaka
State: Indiana
ZIP Code: 46545
Phone: (574) 277-2220

Authorized Official

Name: MS. CHARYL KRIVAK
Title: TREATMENT COORDINATOR
Phone: (574) 277-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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