| Comprehensive Dental Care Pc | |
|
3820 E Bristol St Elkhart IN 46514 | |
| (574) 264-4161 | |
| (574) 266-8198 |
| Full Name | Comprehensive Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3820 E Bristol St, Elkhart, Indiana |
| Authorized Official Name and Position | Terry Robert Bryant (OWNER) |
| Authorized Official Contact | 5742644161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Dental Care Pc 3820 E Bristol St Elkhart IN 46514 Ph: (574) 264-4161 | Comprehensive Dental Care Pc 3820 E Bristol St Elkhart IN 46514 Ph: (574) 264-4161 |
| NPI Number | 1508077595 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508077595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009531 (Indiana) | Primary |
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