# ASSOCIATED RIVERBEND DENTISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568503902
- **Authorized official:** MR. GEORGE WASHINGTON SURGUY DDS (OWNER PRESIDENT)
- **Authorized official phone:** (574) 234-1700

## Contact information

- **Practice address:** 521 EAST MONROE STREET, SOUTH BEND, IN 46601-2325
- **Practice address phone:** (574) 234-1700
- **Practice address fax:** (574) 287-6453
- **Mailing address:** 521 EAST MONROE STREET, SOUTH BEND, IN 46601-2325
- **Mailing address phone:** (574) 234-1700
- **Mailing address fax:** (574) 287-6453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/22/2020