Organization
LINDBORG DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W LINDBORG (PRESIENT)
(574) 234-6841
Entity
Organization
Contact information
Practice address
138 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 234-6841
(574) 234-2845
Mailing address
138 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 234-6841
(574) 234-2845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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