Individual
JENI LIN-BOLLENBACHER HESELBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 E 5TH ST, MISHAWAKA, IN 46544-3422
(574) 259-1464
Mailing address
2424 E 5TH ST, MISHAWAKA, IN 46544-3422
(574) 259-1464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012467A
IN
Other
Enumeration date
03/16/2016
Last updated
03/16/2022
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