| Affiliated Family Dentists Pc | |
|
605 W Douglas Road Mishawaka IN 46545 | |
| (574) 277-2220 | |
| (574) 277-8108 |
| Full Name | Affiliated Family Dentists Pc |
|---|---|
| Speciality | Dentist |
| Location | 605 W Douglas Road, Mishawaka, Indiana |
| Authorized Official Name and Position | Charyl Krivak (TREATMENT COORDINATOR) |
| Authorized Official Contact | 5742772220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Family Dentists Pc 605 W Douglas Road Mishawaka IN 46545 Ph: (574) 277-2220 | Affiliated Family Dentists Pc 605 W Douglas Road Mishawaka IN 46545 Ph: (574) 277-2220 |
| NPI Number | 1760527592 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760527592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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