| The Dental Center Of Mishawaka Pc | |
|
112 Ironworks Ave Mishawaka IN 46544-2057 | |
| (574) 255-4964 | |
| Not Available |
| Full Name | The Dental Center Of Mishawaka Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Ironworks Ave, Mishawaka, Indiana |
| Authorized Official Name and Position | Rebecca M Nukes (BUSINESS MANAGER) |
| Authorized Official Contact | 5742457503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Center Of Mishawaka Pc 112 Ironworks Ave Mishawaka IN 46544-2057 Ph: (574) 255-4964 | The Dental Center Of Mishawaka Pc 112 Ironworks Ave Mishawaka IN 46544-2057 Ph: (574) 255-4964 |
| NPI Number | 1295940518 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295940518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008118 (Indiana) | Primary |
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