Organization
FAMILY DENTAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARNEY WEINGARTEN DDS (PRESIDENT)
(574) 243-5586
Entity
Organization
Contact information
Practice address
17455 DOUGLAS RD, SOUTH BEND, IN 46635-1732
(574) 243-5586
(574) 243-5587
Mailing address
17455 DOUGLAS RD, SOUTH BEND, IN 46635-1732
(574) 243-5586
(574) 243-5587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2006
Last updated
08/22/2020
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