University Park Dental Associates | |
16597 State Road 23 South Bend IN 46635-1461 | |
(574) 272-4441 | |
Not Available |
Full Name | University Park Dental Associates |
---|---|
Speciality | Clinic/center - Dental |
Location | 16597 State Road 23, South Bend, Indiana |
Authorized Official Name and Position | Opal Anderson (MANAGER) |
Authorized Official Contact | 5742724441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Park Dental Associates 16597 State Road 23 South Bend IN 46635-1461 Ph: () - | University Park Dental Associates 16597 State Road 23 South Bend IN 46635-1461 Ph: (574) 272-4441 |
NPI Number | 1356113690 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356113690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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