The Dental Center Of Mishawaka Pc | |
112 Ironworks Ave Mishawaka IN 46544-2057 | |
(574) 255-4964 | |
Not Available |
Full Name | The Dental Center Of Mishawaka Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 112 Ironworks Ave, Mishawaka, Indiana |
Authorized Official Name and Position | Rebecca M Nukes (BUSINESS MANAGER) |
Authorized Official Contact | 5742457503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Dental Center Of Mishawaka Pc 112 Ironworks Ave Mishawaka IN 46544-2057 Ph: (574) 255-4964 | The Dental Center Of Mishawaka Pc 112 Ironworks Ave Mishawaka IN 46544-2057 Ph: (574) 255-4964 |
NPI Number | 1295940518 |
---|---|
Provider Enumeration Date | 05/11/2007 |
Last Update Date | 06/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295940518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12008118 (Indiana) | Primary |
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