Organization
SOUTH BEND CHILDRENS DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA O'NEIL DDS (PRESIDENT SOUTH BEND CHILDRENS DENT)
(574) 288-4400
Entity
Organization
Contact information
Practice address
103 S EDDY, SOUTH BEND, IN 46617
(574) 288-4400
Mailing address
103 S EDDY, SOUTH BEND, IN 46617
(574) 288-4400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
01/31/2013
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