| Affordable Dentures - South Bend, P.c. | |
|
165 W University Dr Mishawaka IN 46545-1199 | |
| (574) 271-1060 | |
| Not Available |
| Full Name | Affordable Dentures - South Bend, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 165 W University Dr, Mishawaka, Indiana |
| Authorized Official Name and Position | Rudy E. Bianco (PRACTICE OWNER) |
| Authorized Official Contact | 5742711060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Dentures - South Bend, P.c. 165 W University Dr Mishawaka IN 46545-1199 Ph: (574) 271-1060 | Affordable Dentures - South Bend, P.c. 165 W University Dr Mishawaka IN 46545-1199 Ph: (574) 271-1060 |
| NPI Number | 1477793123 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477793123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010034A (Indiana) | Primary |
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