Organization
THE DENTAL CENTER OF SOUTH BEND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROSENBAUM DDS.,MDS (DENTALDIRECTOR)
(574) 245-7501
Entity
Organization
Contact information
Practice address
1005 E LASALLE AVE, SOUTH BEND, IN 46617-2818
(574) 245-7501
(574) 245-7502
Mailing address
1005 E LASALLE AVE, SOUTH BEND, IN 46617-2818
(574) 245-7501
(574) 245-7502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12015961
IN
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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