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Organization

BOND 2020 DENTAL, LLC

Active
Parent organization
20-20 DENTAL, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
20-20 DENTAL, LLC
Authorized official
DR. WILLIAM MYERS D.D.S. (D.D.S.)
(574) 549-7232
Entity
Organization

Contact information

Practice address
915 S IRONWOOD, SOUTH BEND, IN 46615-1613
(574) 288-5252
(574) 288-7279
Mailing address
915 S. IRONWOOD, SOUTH BEND, IN 46615-1613
(574) 288-5252
(574) 288-7279

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008811A
IN

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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