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230 E Day Rd Suite 150 Mishawaka IN 46545-3408 | |
| (574) 318-7766 | |
| (574) 318-7762 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 230 E Day Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | Kessler Truelove (OWNER) |
| Authorized Official Contact | 5743187766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
230 E Day Rd Suite 150 Mishawaka IN 46545-3408 Ph: () - | 230 E Day Rd Suite 150 Mishawaka IN 46545-3408 Ph: (574) 318-7766 |
| NPI Number | 1821474743 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821474743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009049A (Indiana) | Primary |
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