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Organization
MENTONE DENTAL LLC
Active
Organization
MENTONE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKYE M BOWER DDS (DENTIST/OWNER)
(574) 598-2997
Entity
Organization
Contact information
Practice address
107 S BROADWAY ST, MENTONE, IN 46539
(574) 598-2997
Mailing address
PO BOX 521, MENTONE, IN 46539-0521
(574) 598-2997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
11/29/2021
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