| George A Mighion Dds Pc | |
|
3420 Hickory Rd Mishawaka IN 46545-8804 | |
| (574) 315-0981 | |
| Not Available |
| Full Name | George A Mighion Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3420 Hickory Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | George A Mighion (PRESIDENT/OWNER) |
| Authorized Official Contact | 5742561579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George A Mighion Dds Pc 3420 Hickory Rd Mishawaka IN 46545-8804 Ph: (574) 315-0981 | George A Mighion Dds Pc 3420 Hickory Rd Mishawaka IN 46545-8804 Ph: (574) 315-0981 |
| NPI Number | 1720455728 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720455728 | NPI | - | NPPES |
| 200196930A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12009876 (Indiana) | Primary |
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