Organization
AFFORDABLE DENTURES - SOUTH BEND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY E. BIANCO DDS (PRACTICE OWNER)
(574) 271-1060
Entity
Organization
Contact information
Practice address
165 W UNIVERSITY DR, MISHAWAKA, IN 46545-1199
(574) 271-1060
Mailing address
165 W UNIVERSITY DR, MISHAWAKA, IN 46545-1199
(574) 271-1060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010034A
IN
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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