The Dental Center Of Mishawaka Pc

NPI 1295940518 - Dentist - 1223G0001X

NPI Details
NPI 1295940518
Enumeration Date 05/11/2007
Last Updated 06/11/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name REBECCA M REBECCA
Position BUSINESS MANAGER
Phone (574) 255-4964
Fax
Practice Location
112 IRONWORKS AVE
MISHAWAKA IN, 46544-2057, US
Phone (574) 255-4964
Fax
Business Location
112 IRONWORKS AVE
MISHAWAKA IN, 46544-2057, US
Phone (574) 255-4964
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12008118
Remove 1295940518 NPI Number
 

According to our database, The Dental Center Of Mishawaka Pc NPI is 1295940518, taxonomy code is 1223G0001X and license number is 12008118, license state is located at Indiana. The Dental Center Of Mishawaka Pc physically located at 112 Ironworks Ave, Mishawaka IN, 46544-2057. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1295940518 NPI number is provided on an as is basis without warranty of any kind. 1295940518 is maintained by the National Plan & Provider Enumeration System. The contents of The Dental Center Of Mishawaka Pc are for informational purposes only.