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Organization
LIFETIME DENTAL CAREOF INDIANA, PC
Active
Organization
LIFETIME DENTAL CAREOF INDIANA, PC
Active
Other names
South Bend Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1605 NORTH IRONWOOD, SOUTH BEND, IN 46635
(574) 271-9693
(574) 271-9719
Mailing address
1605 NORTH IRONWOOD, SOUTH BEND, IN 46635
(574) 271-9693
(574) 271-9719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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