Organization
MCKINLEY FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WEBER (OFFICE ADMINISTRATOR)
(574) 232-2992
Entity
Organization
Contact information
Practice address
13432 MCKINLEY HWY, MISHAWAKA, IN 46545-7447
(574) 232-2992
Mailing address
13432 MCKINLEY HWY, MISHAWAKA, IN 46545-7447
(574) 232-2992
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/06/2021
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