# BOND 2020 DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 20-20 DENTAL, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700219912
- **Legal business name:** 20-20 DENTAL, LLC
- **Authorized official:** DR. WILLIAM MYERS D.D.S. (D.D.S.)
- **Authorized official phone:** (574) 549-7232

## Contact information

- **Practice address:** 915 S IRONWOOD, SOUTH BEND, IN 46615-1613
- **Practice address phone:** (574) 288-5252
- **Practice address fax:** (574) 288-7279
- **Mailing address:** 915 S. IRONWOOD, SOUTH BEND, IN 46615-1613
- **Mailing address phone:** (574) 288-5252
- **Mailing address fax:** (574) 288-7279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008811A | IN | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013