Organization
TRANSITIONS DENTAL COMPANY
Active
Parent organization
TRANSITIONS DENTAL COMPANY
Other names
University Meadows Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONS DENTAL COMPANY
Authorized official
KARRI KRUEGER (VICE PRESIDENT)
(765) 807-0580
Entity
Organization
Contact information
Practice address
6502 GRAPE RD, SUITE 882, MISHAWAKA, IN 46545-1102
(574) 698-3719
(574) 968-8140
Mailing address
6502 GRAPE RD, SUITE 882, MISHAWAKA, IN 46545-1102
(574) 698-3719
(574) 968-8140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010165
IN
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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