| Jet Dental Of Indiana, Llc | |
|
1005 E Lasalle Ave Ste 1a South Bend IN 46617-2818 | |
| (801) 430-9262 | |
| Not Available |
| Full Name | Jet Dental Of Indiana, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1005 E Lasalle Ave Ste 1a, South Bend, Indiana |
| Authorized Official Name and Position | Brian Danielewicz (OWNER) |
| Authorized Official Contact | 8472401477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jet Dental Of Indiana, Llc 1005 E Lasalle Ave Ste 1a South Bend IN 46617-2818 Ph: (801) 430-9262 | Jet Dental Of Indiana, Llc 1005 E Lasalle Ave Ste 1a South Bend IN 46617-2818 Ph: (801) 430-9262 |
| NPI Number | 1235003385 |
|---|---|
| Provider Enumeration Date | 10/01/2025 |
| Last Update Date | 10/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235003385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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