Michael D Rader D.D.S.

NPI 1497827984 - Dentist - 1223G0001X

NPI Details
NPI 1497827984
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
919 E JEFFERSON BLVD STE 408
SOUTH BEND IN, 46617-3117, US
Phone (574) 233-0014
Fax (574) 233-0018
Business Location
919 E JEFFERSON BLVD STE 408
SOUTH BEND IN, 46617-3117, US
Phone (574) 233-0014
Fax (574) 233-0018
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 7726
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According to our database, Dr. Michael D Rader D.D.S. NPI is 1497827984, taxonomy code is 1223G0001X and license number is 7726, license state is located at Indiana. Michael D Rader D.D.S. physically located at 919 E Jefferson Blvd Ste 408, South Bend IN, 46617-3117. NPI Number Michael D Rader D.D.S. has the Individual type.

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1497827984 NPI number is provided on an as is basis without warranty of any kind. 1497827984 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D Rader D.D.S. are for informational purposes only.