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Organization
MICHAEL D. RADER, D.D.S., INC.
Active
Organization
MICHAEL D. RADER, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATTY J ROBBINS (OFFICE ADMINISTRATOR)
(574) 233-0014
Entity
Organization
Contact information
Practice address
919 E JEFFERSON BLVD, SUITE 408, SOUTH BEND, IN 46617-3112
(574) 233-0014
(574) 233-0018
Mailing address
919 E JEFFERSON BLVD, SUITE 408, SOUTH BEND, IN 46617-3112
(574) 233-0014
(574) 233-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7726
IN
Other
Enumeration date
03/17/2008
Last updated
03/18/2008
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