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Individual

DR. JULIE GAYDOS PLAGENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
604 SOUTH EDDY ST, SOUTH BEND, IN 46615
(574) 234-1081
(574) 234-1082
Mailing address
604 S EDDY ST, SOUTH BEND, IN 46615
(574) 234-1081
(574) 234-1082

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009563
IN

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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