Organization
BOONE AND COCQUYT LLC DBA ERSKINE FAMILY DENTISTRY
Active
Other names
Erskine Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET K CLARK (FINANCIAL MANAGER)
(574) 299-9300
Entity
Organization
Contact information
Practice address
734 E IRELAND RD, ERSKINE FAMILY DENTISTRY, SOUTH BEND, IN 46614-2662
(574) 299-9300
(574) 299-9853
Mailing address
734 E IRELAND RD, ERSKINE FAMILY DENTISTRY, SOUTH BEND, IN 46614-2662
(574) 299-9300
(574) 299-9853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12009004
IN
1223G0001X
General Practice Dentistry
Primary
12009553
IN
1223G0001X
General Practice Dentistry
12010048
IN
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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