| University Meadows Family Dental | |
|
6502 Grape Rd Suite 882 Mishawaka IN 46545-1102 | |
| (574) 698-3719 | |
| (574) 968-8140 |
| Full Name | University Meadows Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 6502 Grape Rd, Mishawaka, Indiana |
| Authorized Official Name and Position | Karri Krueger (VICE PRESIDENT) |
| Authorized Official Contact | 7658070580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Meadows Family Dental 6502 Grape Rd Suite 882 Mishawaka IN 46545-1102 Ph: (574) 698-3719 | University Meadows Family Dental 6502 Grape Rd Suite 882 Mishawaka IN 46545-1102 Ph: (574) 698-3719 |
| NPI Number | 1518220946 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518220946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010165 (Indiana) | Primary |
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