Organization
MICHIANA DENTAL SLEEP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HEWITT (PRESIDENT)
(574) 271-3198
Entity
Organization
Contact information
Practice address
301 E DAY RD, SUITE 100, MISHAWAKA, IN 46545-3455
(574) 271-3198
Mailing address
301 E DAY RD, SUITE 100, MISHAWAKA, IN 46545-3455
(574) 271-3198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54001132A
IN
Other
Enumeration date
08/19/2008
Last updated
05/12/2009
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