Michiana Dental Care

NPI #1992329148 in Mishawaka, Indiana

Provider Information

NPI Number: 1992329148
Entity Type: Organization
Organization Name: Michiana Dental Care
Primary Specialty: Dentist
Enumeration Date: Jun 3, 2020
Last Updated: Jun 3, 2020

Practice Location

Address: 518 LINCOLNWAY W
City: Mishawaka
State: Indiana
ZIP Code: 46544-1807
Phone: (574) 255-5630

Authorized Official

Name: ARACELIS MORGAN
Title: DENTAL BILLING
Phone: (616) 457-2299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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