South Bend Family Dentistry, P.c.
NPI #1841369535 in South Bend, Indiana
Provider Information
- NPI Number
- 1841369535
- Entity Type
- Organization
- Organization Name
- South Bend Family Dentistry, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2006
- Last Updated
- May 27, 2014
Practice Location
- Address
- 1637 PORTAGE AVE
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46616-1743
- Phone
- (574) 233-8444
Authorized Official
- Name
- DR. TRANG KHANH MAI, D.D.S.
- Title
- PRESIDENT
- Phone
- (574) 233-8444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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