Organization
BEWICK DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENT BEWICK D.D.S. (OWNER)
(219) 762-5288
Entity
Organization
Contact information
Practice address
3410 WILLOWCREEK RD, PORTAGE, IN 46368-5089
(219) 762-5288
(219) 763-3369
Mailing address
3410 WILLOWCREEK RD, PORTAGE, IN 46368-5089
(219) 762-5288
(219) 763-3369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008296A
IN
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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