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Organization
MICHIANA DENTAL CARE
Active
Organization
MICHIANA DENTAL CARE
Active
Other names
Midwest Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELIS MORGAN (DENTAL BILLING)
(616) 457-2299
Entity
Organization
Contact information
Practice address
518 LINCOLNWAY W, MISHAWAKA, IN 46544-1807
(574) 255-5630
Mailing address
518 LINCOLNWAY W, MISHAWAKA, IN 46544-1807
(574) 255-5630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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