# MICHIANA DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992329148
- **Authorized official:** ARACELIS MORGAN (DENTAL BILLING)
- **Authorized official phone:** (616) 457-2299

## Contact information

- **Practice address:** 518 LINCOLNWAY W, MISHAWAKA, IN 46544-1807
- **Practice address phone:** (574) 255-5630
- **Mailing address:** 518 LINCOLNWAY W, MISHAWAKA, IN 46544-1807
- **Mailing address phone:** (574) 255-5630

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2020
- **Last updated:** 06/03/2020